Individual provider · Type 1 NPI
Tyler Krall
Student Health Clinic/Center · Phoenix, AZ
NPI number
1336079110
Active
Practice location
1111 E Mcdowell Rd
Phoenix, AZ 85006-2612
Mailing address
500 E Van Buren St
Phoenix, AZ 85004-2230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
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About NPI 1336079110
Tyler Krall's National Provider Identifier is 1336079110, issued on May 21, 2026. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Phoenix, AZ. The record was last updated on May 21, 2026.