Tyson Andelin

NPI #1508343732 in Moses Lake, Washington

Provider Information

NPI Number: 1508343732
Entity Type: Individual
Name: Tyson Andelin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 20, 2018
Last Updated: Jun 14, 2021

Practice Location

Address: 605 S COOLIDGE ST
City: Moses Lake
State: Washington
ZIP Code: 98837-1893
Phone: (509) 765-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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