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Individual

DR. THOMAS TYLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1140 LAUREL ST, STE. A, SAN CARLOS, CA 94070-5009
(650) 551-1103
(650) 551-1104
Mailing address
1140 LAUREL ST, STE. A, SAN CARLOS, CA 94070-5009
(650) 551-1103
(650) 551-1104

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C50482
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C50482
CA
Enumeration date
11/30/2005
Last updated
07/08/2007
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