TYLER SOUTHARD

MEDFORD, OR
NPI1457755134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-10-09
Last Update Date2022-10-05
Business Address
TYLER SOUTHARD PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
Mailing Address
TYLER SOUTHARD PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
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