Individual
JOHN A TYBURCZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1995 ERRECART BLVD STE 103, ELKO, NV 89801-8336
(775) 738-3111
(775) 778-6728
Mailing address
1995 ERRECART BLVD STE 103, ELKO, NV 89801-8336
(775) 738-3111
(775) 777-0216
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5949
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002004014
—
NV
01
—
5949
MEDICAL BOARD
NV
01
—
CS05099
STATE PHARMACY
NV
Enumeration date
12/26/2006
Last updated
03/07/2023
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