TYLER AKIRA ICE
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1659900736- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4300 E FLAMINGO AVE, NAMPA, ID, 836873138
- Phone
- (714) 318-0439
Specialties & Taxonomies
Internal Medicine
Primary License: ID #M-17236
Hospitalist
License: ID #M-17236