Individual
TYSON NEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ST
Contact information
Practice address
112 BOEYKENS PL, SUITE 2A, NORMAL, IL 61761
(309) 846-4716
Mailing address
112 BOEYKENS PL, SUITE 2A, NORMAL, IL 61761
(309) 846-4716
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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