Individual provider · Type 1 NPI

Tyler A. Champagne, PHYSICIAN ASSISTANT

Medical Physician Assistant · Apo, AE

NPI number 1972887768 Active

Practice location

Unit 6180 Box 31st
Apo, AE 09604-6180

Call (314) 632-1775 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1972887768

Tyler A. Champagne, PHYSICIAN ASSISTANT's National Provider Identifier is 1972887768, issued on Sep 28, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Apo, AE. The record was last updated on Jun 30, 2025.