Individual
TYLER RICHARD SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2900 STATE ST STE 101, MEDFORD, OR 97504-8458
(541) 789-5790
(541) 789-5973
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(724) 809-6077
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO219654
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15144730
CAQH
—
Enumeration date
04/27/2016
Last updated
07/12/2024
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