Individual
DR. ROBERT WESLIE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6750 W 52ND AVE, SUITE F, ARVADA, CO 80002-3956
(720) 898-3300
(720) 898-3333
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
27968
CO
207ZP0213X
Pediatric Pathology Physician
27968
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01279686
—
CO
05
—
37680761
—
NM
Enumeration date
03/15/2006
Last updated
04/03/2015
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