Organization
TYLER STREET, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER C STREET M.D. (OFFICER)
(401) 688-0862
Entity
Organization
Contact information
Practice address
1175 TRANCAS ST, NAPA, CA 94558-2907
(707) 258-6053
Mailing address
PO BOX 3269, NAPA, CA 94558-0326
(401) 688-0862
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
138470
CA
Other
Enumeration date
10/14/2015
Last updated
02/23/2016
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