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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARTIN S. TYSON, DO

Active

DR. MARTIN S. TYSON, DO is a General Surgery healthcare provider located in BOLIVAR, Missouri. NPI 1851468987 is currently active in the NPPES registry. Verify at CMS.

General Surgery · BOLIVAR, MO

Registration Details

NPI Number
1851468987
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2006 (19.702111621775 yrs)
Last Updated
Dec 10, 2015
Licenses
2001010358 (MO)
2001010358 (MO)

Practice Information

Address
1155 W PARKVIEW ST
SUITE 1G
BOLIVAR, MO, 656138279
Browse MO providers · Browse ZIP 65613
Phone
4173268700
Fax
4173286755
Primary Specialty
General Surgery
208600000X
Additional Specialty
Trauma Surgery

Other General Surgery Providers in BOLIVAR, MO

Name Credential NPI
DR. WALTER WAYNE WOLF III D.O. 1679531545
BRENT ALLEN BARTGIS DO 1518062215
DR. BRIAN DOUGLAS BIGGERS M.D. 1447474762
RACHEL PRUETT 1710447461
DYLAN PARKER SCHWINDT MD 1841827763
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.