Individual
ALLEN E TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD024475E
PA
2084N0600X
Clinical Neurophysiology Physician
MD204475E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000948890
—
PA
01
—
0055804000
AMERIHEALTH 65 PA
PA
01
—
069575
HIGHMARK BLUE SHIELD
PA
01
—
100491
GEISINGER
PA
01
—
104876
JOHNS HOPKINS
PA
01
—
4456695
AETNA
PA
01
—
614027
CAREFIRST MD BCBS
MD
Enumeration date
07/03/2006
Last updated
08/07/2013
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