TYLER JOHN HALSTEAD PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1730725151- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 4111 1ST AVE STE 3, NITRO, WV, 251431345
- Phone
- (304) 755-4797
- Fax
- (304) 755-4799
Specialties & Taxonomies
Physician Assistant
Primary License: WV #826