Individual
TYLER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 839-4567
Mailing address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 839-4567
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
01088186A
IN
2083A0100X
Aerospace Medicine Physician
01088186A
IN
208D00000X
General Practice Physician
Primary
01088186A
IN
390200000X
Student in an Organized Health Care Education/Training Program
01088186A
IN
Other
Enumeration date
03/02/2021
Last updated
05/11/2026
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