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

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA807 (AR)

Medical Physician Assistant: Definition to come...

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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.