Tyson Blue Harris
Medical Specialty
Professional ID
- NPI: 1275994253
- PECOS ID: 9830498088
- Enrollment ID: I20160422000723
- Credential(MD, DO, DPM):
- Medical School: Cleveland Chiropractic College - Kansas City
- Medical School Graduation Year: 2014
Medical Practices
- Organization Name: Casalino Chiropractic Office Pc
- Group Practice ID assigned by PECOS: 1557445590
- Number of Group Practice member: 2
Location
- Address1: 1000 E Camelback Rd
- Address2:
- City: Phoenix
- State: Arizona
- Zip Code: 85014
- Phone Number: (602)279-7376
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):