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NPI Code Detail

MEDICARE: TYLER MYRICK

MEDICARE:   TYLER  MYRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation ChiropractorB01670NV

General Provider Information

NPI Number : 1831691203
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER MYRICK
Provider Business Mailing Address
First Line : 2626 S RAINBOW BLVD STE 107AND
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-4005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2626 S RAINBOW BLVD STE 107AND
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-4005
Country : US
Telephone Number : 702-675-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 03/01/2018

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Directions to “ TYLER MYRICK ” Practice Location

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