Individual provider · Type 1 NPI

Tyler Knudsen, MMS, PA-C

Surgical Physician Assistant · Phoenix, AZ

NPI number 1902389273 Active

Practice location

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514

Fax (602) 944-0064

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7312 (AZ)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1902389273

Tyler Knudsen, MMS, PA-C's National Provider Identifier is 1902389273, issued on Sep 12, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on May 4, 2022.