MRS. Shirley Jean Tyler, PA-C

NPI #1306825773 in Fort Carson, Colorado

Provider Information

NPI Number: 1306825773
Entity Type: Individual
Name: MRS. Shirley Jean Tyler, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 12, 2006
Last Updated: Nov 2, 2010

Practice Location

Address: 1650 COCHRANE CIR
Address 2: EVANS FAMILY MEDICINE CLINIC
City: Fort Carson
State: Colorado
ZIP Code: 80913-4603
Phone: (719) 524-4068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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