Individual
MR. ANDREW TYLER PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
8118 CORPORATE WAY STE 212, MASON, OH 45040-9560
(513) 947-8433
Mailing address
8118 CORPORATE WAY STE 212, MASON, OH 45040-9560
(513) 947-9943
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
72314
OH
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
OH
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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