Individual
MR. TYLER EVAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA, RT(R)
Contact information
Practice address
400 ASHVILLE AVE, CARY, NC 27518-6134
(919) 371-2371
Mailing address
3620 GLENROTHES CV, APEX, NC 27539-7985
(213) 444-9173
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
NC
Other
Enumeration date
08/06/2013
Last updated
12/07/2016
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