Individual
TYLER ELLIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 GARFIELD AVE RM G102, PARKERSBURG, WV 26101-5376
(304) 424-4575
(304) 424-4577
Mailing address
800 GARFIELD AVE RM G102, PARKERSBURG, WV 26101-5376
(304) 424-4575
(304) 424-4577
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4421
WV
Other
Enumeration date
03/21/2021
Last updated
08/28/2024
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