Individual
TYLER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7700 S BROADWAY, LITTLETON, CO 80122-2602
(800) 828-0898
Mailing address
2781 S NEWLAND ST, DENVER, CO 80227-3518
(303) 941-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007470
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/25/2021
Last updated
08/30/2022
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