NPI 1700354933

Tyler L Childs, PA

Practitioner Medical Physician Assistant Benton, AR

Practice location

Address: 1000 Hwy 35 N STE 8, Benton, AR 72019-2353
Phone: (501) 315-4008
Fax: (501) 315-3411
Mailing address: PO Box 2860, Benton, AR 72018-2860

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA807 (AR)

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1700354933
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2018
Record last updated: 6 Nov 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.