Tyler John Halstead, PA-C

NPI #1730725151 in Nitro, West Virginia

Provider Information

NPI Number: 1730725151
Entity Type: Individual
Name: Tyler John Halstead, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 20, 2019
Last Updated: Sep 19, 2022

Practice Location

Address: 4111 1ST AVE STE 3
City: Nitro
State: West Virginia
ZIP Code: 25143-1345
Phone: (304) 755-4797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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