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Individual

TYLER SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1927 BROADWAY ST APT E, INDIANAPOLIS, IN 46202-5002
(757) 472-6631
Mailing address
1927 BROADWAY ST APT E, INDIANAPOLIS, IN 46202-5002

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
10/30/2024
Last updated
03/12/2025
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