| Scott E. Tyler Md Ps | |
|
2105 112th Ave Ne Bellevue WA 98004-2945 | |
| (425) 451-7737 | |
| (425) 451-0225 |
| Full Name | Scott E. Tyler Md Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 2105 112th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Scott E Tyler (PRESIDENT) |
| Authorized Official Contact | 14254517737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott E. Tyler Md Ps 2105 112th Ave Ne Bellevue WA 98004-2945 Ph: (425) 451-7737 | Scott E. Tyler Md Ps 2105 112th Ave Ne Bellevue WA 98004-2945 Ph: (425) 451-7737 |
| NPI Number | 1265610281 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Medicare PECOS PAC ID | 2961495593 |
|---|---|
| Medicare Enrollment ID | O20090512000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265610281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00028035 (Washington) | Primary |
| Provider Name | Scott E Tyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306928106 PECOS PAC ID: 1456351113 Enrollment ID: I20070102000355 |
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