Individual provider · Type 1 NPI
Tyler L. Childs, PA
Medical Physician Assistant · Benton, AR
NPI number
1700354933
Active
Practice location
1000 Hwy 35 N Ste 8
Benton, AR 72019-2353
Fax (501) 315-3411
Mailing address
PO Box 2860
Benton, AR 72018-2860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA807 (AR) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Benton
About NPI 1700354933
Tyler L. Childs, PA's National Provider Identifier is 1700354933, issued on Nov 6, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Benton, AR. The record was last updated on Nov 6, 2018.