Individual
TYLER ALLISON TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
A171255
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
DR.0059083
CO
208000000X
Pediatrics Physician
A171255
CA
Other
Enumeration date
04/01/2016
Last updated
08/22/2022
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