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Individual
DR. DYLAN TYLER ROBERTS
Active
Individual
DR. DYLAN TYLER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7374
OK
208M00000X
Hospitalist Physician
Primary
7374
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15924963
CAQH
—
05
—
201016940A
—
OK
01
—
7774220
CIGNA
OK
01
—
8365430
AETNA
OK
Enumeration date
04/06/2020
Last updated
04/01/2026
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