Clark, Tyler Randolph
Clark, Tyler Randolph is an individual health care provider with primary practice located at 2625 Shadelands Dr , Walnut Creek CA 94598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Clark, Tyler Randolph can be contacted via phone (925) 939-8585.Contact Information
Primary practice address
2625 Shadelands Dr
Walnut Creek CA 94598
Phone: (925) 939-8585
Fax: (925) 933-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | A161868 | California |
Profile Details
| NPI number | 1831453778 |
|---|---|
| LBN Legal business name | Clark, Tyler Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Sep 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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