Most Relevant Information
Provider Data
  | NPI Number: | 1003300179 | 
| Provider Name: | DOUGLAS TYLER HOWELL PA-C | 
| Entity Type: | Individual | 
| Taxonomy Code: | 363A00000X | 
| Specialty: | Physician Assistant | 
| License Number: | 1153257 | 
Most Important Dates
  | Enumeration Date: | 06/21/2018 | 
| Last Updated: | 06/21/2018 | 
Provider Practice Location
  1250 E ALMOND AVE
      
      MADERA
      CA
      936375606
  Practice Location Phone/Fax
      | Phone: | 5596755555 | 
| Fax: | 
Provider Mailing Location
  1001 GALAXY WAY # 400
      
      CONCORD
      CA
      945205725
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |