Individual
MRS. SHIRLEY JEAN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 COCHRANE CIR, EVANS FAMILY MEDICINE CLINIC, FORT CARSON, CO 80913-4603
(719) 524-4068
(719) 526-7312
Mailing address
1650 COCHRANE CIR, EVANS FAMILY MEDICINE CLINIC, FORT CARSON, CO 80913-4603
(719) 524-4068
(719) 526-7312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
875
CO
Other
Enumeration date
01/12/2006
Last updated
11/02/2010
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