Individual
MR. WILLIAM TAFT TYNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4300 HAREWOOD RD NE, WASHINGTON, DC 20017-1513
(202) 368-6585
Mailing address
9910 CERVIDAE LN APT 102, RANDALLSTOWN, MD 21133-1954
(410) 922-6139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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