Individual
DAVID PAUL TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12011 W LOWRY RD, CLAREMORE, OK 74017
(918) 342-0770
Mailing address
12011 W LOWRY RD, CLAREMORE, OK 74017
(918) 342-0770
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
204067
OK
Other
Enumeration date
10/04/2023
Last updated
10/27/2023
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