Individual
MR. TYLER DYLAN MCANALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
(501) 257-2693
Mailing address
259 MCANALLY DR, SAGE, AR 72573-8858
(870) 291-2153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAN1744
ME
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
08/14/2017
Last updated
01/03/2020
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