Individual
ALEXANDER TYLER PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9000 N MAIN ST STE G-35, ENGLEWOOD, OH 45415-1182
(937) 734-6784
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
06/16/2026
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