John T Tyson
Sports Medicine Doctor
2801 Rodeo Rd Suite B13
Santa Fe
, New Mexico 87507-6503
John T Tyson
Sports Medicine Doctor
2801 Rodeo Rd Suite B13
Santa Fe
, New Mexico 87507-6503
(505) 474-3279
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- John T Tyson
- 2801 Rodeo Rd Suite B13
- Santa Fe, NM
- Zip : 87507-6503
- Fax : (505) 474-3279
- Phone : (505) 474-6097
Second Address
- John T Tyson
- 2801 Rodeo Rd Suite B13
- Santa Fe, NM
- Zip : 87507-6503
- Fax : (505) 474-3279
- Phone : (505) 474-6097
Reviews
FAQs
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What type of doctor is John T Tyson
In what state does John T Tyson practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 65-56 | NM |
National Provider Identifier
| NPI | 1053442814 |
|---|---|
| Provider Name | John T Tyson |
| First Address | Santa Fe, NM 87507-6503 |
| Second Address | Santa Fe, NM 87507-6503 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D43338 | (02) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.