Organization
BEACON MONITORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT JOSEPH TYLER MD (OWNER)
(559) 905-2736
Entity
Organization
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 452-8181
Mailing address
530 KNIGHTSBRIDGE RD, FAIRBANKS, AK 99709-2468
(559) 905-2736
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
04/12/2017
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