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Individual

TYLER CAPHTON MOFFETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-4700
(907) 580-2090
Mailing address
37578 CAPTAINS COURT CIR, KENAI, AK 99611-8794
(907) 395-0443

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3968
AK
207R00000X
Internal Medicine Physician
MD32612
WA
207RP1001X
Pulmonary Disease Physician
3968
AK
207RP1001X
Pulmonary Disease Physician
MD32612
WA
208M00000X
Hospitalist Physician
Primary
MEDS3968
AK

Other

Enumeration date
08/10/2006
Last updated
04/26/2019
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