Edward Henry Tiley III M.D.

NPI 1063510956 - Surgery - 2086S0129X

NPI Details
NPI 1063510956
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/23/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
9 COURTNEY DR
CHARLESTON WV, 25304-2699, US
Phone (304) 925-3115
Fax (304) 925-2088
Business Location
9 COURTNEY DR
CHARLESTON WV, 25304-2699, US
Phone (304) 925-3115
Fax (304) 925-2088
Toxanomy
Taxonomy Code 2086S0129X
License State West Virginia
License Number 12774
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According to our database, Edward Henry Tiley III M.D. NPI is 1063510956, taxonomy code is 2086S0129X and license number is 12774, license state is located at West Virginia. Edward Henry Tiley III M.D. physically located at 9 Courtney Dr, Charleston WV, 25304-2699. NPI Number Edward Henry Tiley III M.D. has the Individual type.

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1063510956 NPI number is provided on an as is basis without warranty of any kind. 1063510956 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Henry Tiley III M.D. are for informational purposes only.