Individual
TYLER L CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 HWY 35 N STE 8, BENTON, AR 72019-2353
(501) 315-4008
(501) 315-3411
Mailing address
PO BOX 2860, BENTON, AR 72018-2860
(501) 315-4008
(501) 315-3411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA807
AR
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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