IAN TYDA WRIGGLESWORTH

APO, AP
NPI1841872744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2021-04-21
Last Update Date2021-04-21
Business Address
IAN TYDA WRIGGLESWORTH PA-C
MEDDAC-K TMC UNIT 15609
APO, AP 96224
Phone number: 315-737-2762
Mailing Address
IAN TYDA WRIGGLESWORTH PA-C
PSC 307 BOX 2997
APO, AP 96224-0030
Phone number: 315-737-3541
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