Organization
ROBYN E TYLER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL TYLER (BUSINESS MANAGER)
(225) 214-4300
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, STE 102, BATON ROUGE, LA 70808-4300
(225) 214-4300
Mailing address
7777 HENNESSY BLVD, STE 102, BATON ROUGE, LA 70808-4300
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
013735
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932614
OTHER ID NUMBER
—
Enumeration date
10/07/2006
Last updated
09/13/2007
Update your record
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