Provider Demographics
NPI:1013284504
Name:TYLER, RION O'NAY (SFIDC)
Entity Type:Individual
Prefix:
First Name:RION
Middle Name:O'NAY
Last Name:TYLER
Suffix:
Gender:M
Credentials:SFIDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34101 FARENHOLT AVE
Mailing Address - Street 2:SURFACE WARFARE MEDICINE INSTITUTE, BUILDING 14
Mailing Address - City:FPO
Mailing Address - State:AA
Mailing Address - Zip Code:34090-1495
Mailing Address - Country:US
Mailing Address - Phone:904-270-7989
Mailing Address - Fax:
Practice Address - Street 1:SURFACE WARFARE MEDICINE INSTITUTE 34101 AVE
Practice Address - Street 2:BUILDING 14
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-0001
Practice Address - Country:US
Practice Address - Phone:619-532-9712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman