Individual
GEOFFREY LOUIS TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6808 220TH ST SW STE 201, MOUNTLAKE TERRACE, WA 98043-2187
(360) 839-6778
Mailing address
6808 220TH ST SW STE 201, MOUNTLAKE TERRACE, WA 98043-2187
(360) 839-6778
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00021183
WA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
MD00021183
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00021183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00184334
RAILROAD MEDICARE
WA
Enumeration date
01/30/2007
Last updated
10/11/2023
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