TYLER SODERLING DO
NPI 1104575653
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since March 22, 2022
802 S JACKSON AVE STE 505, TULSA, OK 74127(918) 747-5322 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tyler Soderling Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER SODERLING DO (NPI 1104575653) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1104575653
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER SODERLINGCredential: DO
Location Address802 S JACKSON AVE STE 505Tulsa, OK 74127-9060
Mailing Address2530 Iowa AveJoplin, MO 64804-2721 · (208) 615-7898
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateApril 4, 2022
NPPES CertifiedApril 4, 2022
NPI 1104575653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

802 S JACKSON AVE STE 505, Tulsa, OK 74127

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
802 S JACKSON AVE STE 505
TULSA, OK 74127
Surgery
802 S JACKSON AVE STE 505
TULSA, OK 74127
Surgery
802 S JACKSON AVE STE 505
TULSA, OK 74127
Student in an Organized Health Care Education/Training Program
802 S JACKSON AVE STE 505
TULSA, OK 74127
Student in an Organized Health Care Education/Training Program
802 S JACKSON AVE STE 505
TULSA, OK 74127
Student in an Organized Health Care Education/Training Program
802 S JACKSON AVE STE 505
TULSA, OK 74127
Surgery
802 S JACKSON AVE STE 505
TULSA, OK 74127
Surgery
802 S JACKSON AVE STE 505
TULSA, OK 74127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104575653, enumerated as an "individual" on March 22, 2022.

The provider is located at 802 S JACKSON AVE STE 505 TULSA, OK 74127 and the phone number is (918) 747-5322.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.