Individual
BRADLEY TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-8736
Mailing address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 212-3150
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
119015
AK
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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