Individual provider · Type 1 NPI

M Alegra Tyler, PA-C

Medical Physician Assistant · Bangor, ME

NPI number 1205889573 Active

Practice location

360 Broadway
Bangor, ME 04401-3979

Call (207) 907-3000 Map

Mailing address

C/o St Marys Health System - Provider Enrollment, PO Box 7291
Lewiston, ME 04243-7291

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-483 (ME)

Medical Physician Assistant: Definition to come...

84 other providers at this address

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About NPI 1205889573

M Alegra Tyler, PA-C's National Provider Identifier is 1205889573, issued on May 18, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bangor, ME. The record was last updated on Feb 3, 2022.