DR. Martin S. Tyson, DO

NPI #1851468987 in Bolivar, Missouri

Provider Information

NPI Number: 1851468987
Entity Type: Individual
Name: DR. Martin S. Tyson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: DO
Enumeration Date: Nov 30, 2006
Last Updated: Dec 10, 2015

Practice Location

Address: 1155 W PARKVIEW ST
Address 2: SUITE 1G
City: Bolivar
State: Missouri
ZIP Code: 65613-8279
Phone: (417) 326-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X

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