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Individual

TYLER SCHWAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2000
Mailing address
73 OAKDALE DR, ROCHESTER, NY 14618-1119

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005861
VA
363A00000X
Physician Assistant
21239
NY
363A00000X
Physician Assistant
C06571
MD
363A00000X
Physician Assistant
Primary
PA031394
DC

Other

Enumeration date
09/19/2017
Last updated
06/29/2023
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