Healthcare Provider Details

I. General information

NPI: 1356399869
Provider Name (Legal Business Name): THOMAS EYLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W PRINCE RD STE 100 ORACLE PRINCE FAMILY PRACTICE
TUCSON AZ
85705
US

IV. Provider business mailing address

5055 E BROADWAY BLVD STE A100 ARIZONA COMMUNITY PHYSICIANS PC
TUCSON AZ
85711-3629
US

V. Phone/Fax

Practice location:
  • Phone: 520-887-3600
  • Fax: 520-887-6331
Mailing address:
  • Phone: 520-327-0460
  • Fax: 520-795-0225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0836
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: