NPI 1083130850

Tyler Dylan McAnally, PHYSICIANASSISTANT

Practitioner Medical Physician Assistant North Little Rock, AR

Practice location

Address: 2200 Fort Roots Dr, North Little Rock, AR 72114-1709
Phone: (501) 257-1000
Fax: (501) 257-2693
Mailing address: 259 McAnally Dr, Sage, AR 72573-8858

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PAN1744 (ME)

Other Physician Assistant providers in Arkansas →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI: 1083130850
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2017
Record last updated: 3 Jan 2020

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.