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Jason Tyrell

NPI 1275317133 · on the registry since 2023 · sole proprietor

Practice

Address
5731 Radcliff Dr # 1
Anchorage, AK 99504
Phone
(907) 339-4859
Fax
(907) 331-0463

Registry record

Primary taxonomy
320900000X
320900000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska