Gayle Holderness Tyerman
MD | Pediatrics | Female
Gayle Holderness Tyerman, MD is a Fort Bragg, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Gayle Holderness Tyerman is
510 Cypress St Ste D, Fort Bragg, California - 95437-5411. She can be contacted on phone at
707-357-1001.
Gayle Holderness Tyerman is a sole proprietor of her business.
NPI number (Unique professional ID) for Gayle Holderness Tyerman is
1740225978 which was assigned by NPPES on 19 Jun, 2006 and it was last updated on 20 Jun, 2019.
Gayle Holderness Tyerman license number is
G43243 for Pediatrics (208000000X) in California.
Gayle Holderness Tyerman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gayle Holderness Tyerman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Gayle Holderness Tyerman |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Gayle Holderness Tyerman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 510 Cypress St Ste D
Fort Bragg, CA, 95437-5411
United States |
|---|
| Phone Number : | 707-357-1001 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740225978 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2006 |
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| Last Updated On : | 20 Jun, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gayle Holderness Tyerman are as mentioned. Primary taxonomy code for Gayle Holderness Tyerman, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G43243 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Gayle Holderness Tyerman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3116 | Other | CA | CCS |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
205 SOUTH ST,
FORT BRAGG, CA, 95437-5540
United States | FORT BRAGG, CA | 707-964-1251 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 510 Cypress St Ste D
Fort Bragg, CA, 95437-5411
United States |
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| Phone Number : | 707-964-5696 |
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Business Location:
Patients can refer following map for directions to
Gayle Holderness Tyerman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.