Individual
TYLER PARADISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 S WILLARD ST, COTTONWOOD, AZ 86326-4128
(928) 301-8489
Mailing address
5000 N MALL WAY APT 350, FLAGSTAFF, AZ 86004-5074
(928) 301-8489
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA-014995
AZ
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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