Individual
BRENT TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
2733 DOREEN CT, FAIRBANKS, AK 99709-2424
(281) 324-5660
Mailing address
2733 DOREEN CT, FAIRBANKS, AK 99709-2424
(281) 324-5660
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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