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Tyler Clark Mandt, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1548793888

Tyler Clark Mandt is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Tyler Clark Mandt practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Tyler Clark Mandt is 1548793888 and holds a License No. A164655 (California).

The current practice location address for Tyler Clark Mandt is 200 W Arbor Dr, San Diego, CA and can be reached out via phone at 800-926-8273 and via fax at 888-539-8781.

Location: 200 W Arbor Dr, San Diego, CA, 90074-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548793888
Provider Name
Tyler Clark Mandt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 W Arbor Dr, San Diego, CA, 90074-0001
Phone Number
800-926-8273
Fax Number
888-539-8781
Provider Enumeration Date
04/04/2017
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr
City
San Diego
State
California
Zip
92103-9000
Phone Number
800-926-8273
Fax Number
888-539-8781
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr
City
San Diego
State
California
Zip
92103-9000
Phone Number
800-926-8273
Fax Number
888-539-8781
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A164655 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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