Brent Tyler, CNIM

NPI #1639597727 in Fairbanks, Alaska

Provider Information

NPI Number
1639597727
Entity Type
Individual
Name
Brent Tyler, CNIM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Electroneurodiagnostic
Credential
CNIM
Enumeration Date
Apr 4, 2014
Last Updated
Apr 4, 2014

Practice Location

Address
2733 DOREEN CT
State
Alaska
ZIP Code
99709-2424
Phone
(281) 324-5660

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - ElectroneurodiagnosticElectroneurodiagnostic

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