Individual
PAUL B TILYOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3112 CLEARWATER DR, SUITE B, PRESCOTT, AZ 86205-7187
(928) 541-9885
(928) 776-8484
Mailing address
1055 RUTH ST, SUITE 6, PRESCOTT, AZ 86301-1740
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393926
—
AZ
Enumeration date
03/24/2006
Last updated
10/23/2007
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