Individual
TYLER KENT SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-5998
(619) 532-5507
Mailing address
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-5998
(619) 532-5507
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2085R0202X
Diagnostic Radiology Physician
193406
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
193406
CA
Other
Enumeration date
04/21/2017
Last updated
06/01/2024
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