Organization
PREMIER VILLAGE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER VERNON DO (OWNER, CEO, PHYSICIAN)
(317) 777-0628
Entity
Organization
Contact information
Practice address
12680 LONGLEAF LN, FISHERS, IN 46038-9188
(317) 777-0628
(317) 342-3117
Mailing address
12680 LONGLEAF LN, FISHERS, IN 46038-9188
(317) 777-0628
(317) 342-3117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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