Individual
MR. TYLER W HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 E PARHAM RD, RICHMOND, VA 23228-3118
(804) 264-7808
(804) 266-2342
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-003571
VA
Other
Enumeration date
07/14/2009
Last updated
02/02/2021
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