Individual
TYLER STEPHEN HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-6157
Mailing address
1346 FOUR LEAF LN, HOLLIDAYSBURG, PA 16648-2508
(814) 341-0292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056969
PA
363AM0700X
Medical Physician Assistant
OA003335
PA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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