Individual provider · Type 1 NPI

Tyler Allison Tetreault, MD

Orthopaedic Surgery of the Spine Physician · Los Angeles, CA

NPI number 1639532179 Active

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 375-6740

Specialties and licenses

TaxonomyCodeLicense
Pediatric Orthopaedic Surgery Physician 207XP3100XA171255 (CA)
Pediatrics Physician 208000000XA171255 (CA)
Orthopaedic Surgery of the Spine Physician Primary 207XS0117XDR.0059083 (CO)

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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About NPI 1639532179

Tyler Allison Tetreault, MD's National Provider Identifier is 1639532179, issued on Apr 1, 2016. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2022.