Individual
DR. TYLER J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 BRYANT AVE, SUITE 1, BRYANT, AR 72022-3815
(501) 653-0353
(501) 653-0347
Mailing address
PO BOX 1615, SEARCY, AR 72145-1615
(501) 776-6093
(501) 776-6019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E4284
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157559001
—
AR
Enumeration date
03/14/2006
Last updated
06/23/2014
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