Individual
TYLER JOSHUA GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5330
(573) 331-5025
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016034126
MO
Other
Enumeration date
09/20/2016
Last updated
10/06/2023
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