Individual
DELLI RAE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 573-3838
Mailing address
6901 FREE FERRY RD, FORT SMITH, AR 72903-2227
(479) 883-0917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-20095
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
01/14/2026
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