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Individual

TYLER KNUDSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MMS,PA-C

Contact information

Practice address
1635 E MYRTLE AVE STE 400, PHOENIX, AZ 85020-5514
(602) 944-2900
(602) 944-0064
Mailing address
1635 E MYRTLE AVE STE 400, PHOENIX, AZ 85020-5514
(602) 944-2900
(602) 944-0064

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7312
AZ

Other

Enumeration date
09/12/2018
Last updated
05/04/2022
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