Individual
TYLER ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13 INDUSTRIAL PARK RD, SACO, ME 04072-1804
(207) 283-8800
Mailing address
87 SHERWOOD ST APT 2, PORTLAND, ME 04103-5323
(401) 649-0753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PENDING
ME
363A00000X
Physician Assistant
Primary
PA2395
ME
Other
Enumeration date
06/14/2022
Last updated
08/02/2022
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