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Individual
DR. TYLER JOSEPH THOMPSON
Active
Individual
DR. TYLER JOSEPH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A20365
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95171623G
—
CA
Enumeration date
06/01/2019
Last updated
11/28/2022
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