Tyler Jordan Israel

NPI #1235697301 in Owensboro, Kentucky

Provider Information

NPI Number: 1235697301
Entity Type: Individual
Name: Tyler Jordan Israel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 7, 2019
Last Updated: Jun 20, 2022

Practice Location

Address: 1200 BRECKENRIDGE ST
City: Owensboro
State: Kentucky
ZIP Code: 42303-1089
Phone: (270) 683-8672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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