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Individual
TYLER JAMES POPIL
Active
Individual
TYLER JAMES POPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265766
NCCPA
OH
05
—
0265766
—
OH
01
—
50.005472RX
OHIO ELICENSURE OHIO PROFESSIONAL LICENSURE
OH
Enumeration date
02/05/2018
Last updated
10/10/2023
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