Individual
TYSON MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
855 6TH STREET, LOVELOCK, NV 89419
(775) 273-2918
Mailing address
PO BOX 2024, LOVELOCK, NV 89419-2024
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1887
NV
Other
Enumeration date
08/14/2017
Last updated
09/21/2017
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