Individual
MR. BENJAMIN C. TYAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
193 BATH RD, BRUNSWICK, ME 04011
(207) 424-2272
Mailing address
1321 N MARTINGALE RD, GILBERT, AZ 85234-1701
(480) 452-6660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5007
AZ
Other
Enumeration date
01/19/2012
Last updated
06/20/2019
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