Individual
COLE TYLER LINZMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(833) 574-2273
Mailing address
25557 LOMAS VERDES ST, LOMA LINDA, CA 92354-2416
(714) 454-9921
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A20108
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/21/2018
Last updated
09/26/2023
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