Individual
JOHN MASON TYLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3910 S. CAREFREE CIRCLE, SUITE C, COLORADO SPRINGS, CO 80917-3053
(719) 599-5753
(719) 599-5817
Mailing address
3910 S. CAREFREE CIRCLE, SUITE C, COLORADO SPRINGS, CO 80917-3053
(719) 599-5753
(719) 599-5817
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302322
—
CO
Enumeration date
08/12/2006
Last updated
12/19/2016
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