Individual
TYLER TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
786 D STREET, JBER, AK 99505-5318
(907) 384-6000
Mailing address
786 D STREET, JBER, AK 99505
(907) 384-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
05/15/2024
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