Individual
TYLER ALAN MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1000
Mailing address
249 FOSTER KNOLL DR, JOPPA, MD 21085-4703
(443) 386-8861
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R232941
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R232941
MD
Other
Enumeration date
05/03/2024
Last updated
06/14/2024
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