Individual
MR. TYLER SCOTT CASAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MMS
Contact information
Practice address
2615 CHESTER AVE, BAKERSFIELD, CA 93301-2014
(661) 395-3000
Mailing address
11318 PACIFIC SHORES DR, BAKERSFIELD, CA 93312-8212
(661) 747-8614
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53380
CA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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