Individual
TYLER PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6000
Mailing address
PO BOX 7796084, CHICAGO, IL 60677-6084
(479) 314-6240
(479) 452-0275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1433
AR
Other
Enumeration date
08/25/2025
Last updated
12/17/2025
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