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Individual

TYLER WOODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
402 DICKINSON ST, SUITE 380, SAN DIEGO, CA 92103
(619) 543-6287
Mailing address
200 W ARBOR DR # 8409, SAN DIEGO, CA 92103-1911

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A127833
CA

Other

Enumeration date
06/26/2012
Last updated
07/06/2018
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