TYLER CLARK MANDT

SAN DIEGO, CA
NPI1548793888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  A164655)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  A164655)
Enumeration Date2017-04-04
Last Update Date2024-06-24
Business Address
TYLER CLARK MANDT MD
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
Mailing Address
TYLER CLARK MANDT MD
FILE 57326
LOS ANGELES, CA 90074-0001
Phone number: