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Individual

TYLER KEITH YOCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
9410
AZ
363A00000X
Physician Assistant
Primary
9410
AZ
363AS0400X
Surgical Physician Assistant
9410
AZ

Other

Enumeration date
05/22/2020
Last updated
07/22/2024
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