Individual
TYLER ALAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 W AVENUE M4, PALMDALE, CA 93551-1432
(661) 480-2377
(661) 480-2378
Mailing address
400 N PEPPER AVE, GENERAL SURGERY MOB STE#308, COLTON, CA 92324-1801
(909) 580-1366
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20A12979
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2012
Last updated
02/04/2019
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