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Individual
DR. TROY ALAN TYNER
Active
Individual
DR. TROY ALAN TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.,F.A.C.O.I.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34004819T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016541
ANTHEM
OH
05
—
0855678
—
OH
01
—
110066031
RR MEDICARE
OH
01
—
2128988
AETNA
OH
01
—
311346460028
CARESOURCE
OH
Enumeration date
07/08/2005
Last updated
02/14/2014
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