Tyler Bill Johnson, DO
Student in an Organized Health Care Education/Training Program in Las Vegas, NV. Individual provider (NPI-1).
NPI number1942069331
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1942069331
- Entity type
- Individual (NPI-1)
- Name
- Tyler Bill Johnson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3100 N Tenaya WayLas Vegas, NV 89128-0442
Phone 702-962-5000
Mailing address
3100 N Tenaya WayLas Vegas, NV 89128-0442
Phone 702-962-5000
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