Tyler Lee Anderson PA-C

NPI 1083927792 - Physician Assistant - 363AM0700X

NPI Details
NPI 1083927792
Gender Male
Enumeration Date 07/22/2010
Last Updated 07/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1119 HIGHLAND AVE STE 4
CLARKSTON WA, 99403-2836, US
Phone (509) 254-0080
Fax (509) 254-0079
Business Location
1119 HIGHLAND AVE STE 4
CLARKSTON WA, 99403-2836, US
Phone (509) 254-0080
Fax (509) 254-0079
Toxanomy
Taxonomy Code 363AM0700X
License State Washington
License Number PA10003435
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According to our database, Mr. Tyler Lee Anderson PA-C NPI is 1083927792, taxonomy code is 363AM0700X and license number is PA10003435, license state is located at Washington. Tyler Lee Anderson PA-C physically located at 1119 Highland Ave Ste 4, Clarkston WA, 99403-2836. NPI Number Tyler Lee Anderson PA-C has the Individual type.

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1083927792 NPI number is provided on an as is basis without warranty of any kind. 1083927792 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Lee Anderson PA-C are for informational purposes only.