NPI 1639597727

Brent Tyler, CNIM

Practitioner Electroneurodiagnostic Specialist/Technologist Fairbanks, AK

Practice location

Address: 2733 Doreen CT, Fairbanks, AK 99709-2424
Phone: (281) 324-5660

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Other Specialist/Technologist, Other providers in Alaska →

Registry record

NPI: 1639597727
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2014
Record last updated: 4 Apr 2014

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.