Individual
DR. TYLER KEVIN OAKESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 445-1234
(928) 771-8107
Mailing address
5959 W UTOPIA RD APT 2064, GLENDALE, AZ 85308-7162
(801) 691-2817
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002795
AZ
Other
Enumeration date
06/14/2024
Last updated
12/18/2024
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