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Organization
TYLER MARK NIXON DO, INC
Active
Organization
TYLER MARK NIXON DO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER MARK NIXON DO (PRESIDENT)
(253) 212-7129
Entity
Organization
Contact information
Practice address
1250 BROADWAY, SONOMA, CA 95476-7500
(707) 938-8406
Mailing address
122 CALISTOGA RD, SUITE 361, SANTA ROSA, CA 95409-3702
(253) 212-7129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A13158
CA
Other
Enumeration date
07/07/2015
Last updated
07/16/2015
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