Individual
TYLER LANE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 785-0732
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 785-0732
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
E-20362
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
05/08/2026
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