Individual
DR. TYLER RAY VESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7701 W ASPERA BLVD, GLENDALE, AZ 85308-7947
(623) 248-2110
(623) 748-5800
Mailing address
7701 W ASPERA BLVD, GLENDALE, AZ 85308-7947
(623) 248-2110
(623) 748-5800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60673
AZ
2084P0800X
Psychiatry Physician
A151839
CA
Other
Enumeration date
05/11/2016
Last updated
11/23/2022
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