Individual
JAMES EVAN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 FORBES PL STE 103, SPRINGFIELD, VA 22151-2205
(704) 824-3215
Mailing address
1 MEDICAL CENTER BLVD DEPARTMENT OF RADIOLOGY, WINSTON SALEM, NC 27157-4917
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101274220
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
05/23/2022
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