Individual
DR. ROSS W TYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1361 CORTINA DR, SUITE A, ORLAND, CA 95963
(530) 865-3400
(530) 865-2477
Mailing address
PO BOX 1102, ORLAND, CA 95963-4102
(530) 865-3400
(530) 865-2477
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A374281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM553840F
—
CA
Enumeration date
04/18/2007
Last updated
06/18/2009
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