Individual
TYSON A. HADDUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90095-5631
(310) 267-8796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A127728
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A127728
CA
Other
Enumeration date
05/24/2012
Last updated
07/21/2022
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