NPI | 1447643127 |
---|---|
Other Name | JOHN M TYLER JR MD |
Entity Type | Organization |
Authorized Contact | JOHN MASON TYLER Physician 719-599-5753 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CO 30232) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 30232) |
Enumeration Date | 2015-03-05 |
Last Update Date | 2016-12-19 |