Individual
TYLER DUANE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2282 NW TROOST ST STE 103, ROSEBURG, OR 97471-6072
(541) 672-4798
Mailing address
2282 NW TROOST ST STE 103, ROSEBURG, OR 97471-6072
(541) 672-4798
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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