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Dr. Terry Whitmer Tyler
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Terry Whitmer Tyler |
| Gender: | M |
| Provider License Number If Given: | 17554 |
NPI Information:
| NPI: | 1952300493 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 7/6/2008 |
Provider Business Mailing Address:
| Address: | 2200 E PARRISH AVE BUILDING D Owensboro, KY 42303 |
| Phone Number: | 2709268171 |
| Fax Number: | 2709264574 |
Provider Business Practice Location Address:
| Address: | 2200 E PARRISH AVE BUILDING D Owensboro, KY 42303 |
| Phone Number: | 2709268171 |
| Fax Number: | 2709264574 |
Provider Taxonomy:
| Primary: | 2085R0202X |
| Secondary (if any): | |
| State: | KY |
