NPI 1063900108

Tyler Ewing

Practitioner Histology Specialist/Technologist Modesto, CA

Practice location

Address: 4301 N Star Way, Modesto, CA 95356-9262
Phone: (209) 577-1200
Mailing address: PO Box 576768, Modesto, CA 95357-6768

Registered specialties

Histology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QH0600X

Other Specialist/Technologist, Pathology providers in California →

Registry record

NPI: 1063900108
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2018
Record last updated: 24 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.