Individual
DAVID HYLER-BOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
163 GREENBRIER STREET, RUPERT, WV 25984
(304) 717-0070
(304) 717-0072
Mailing address
PO BOX 1049, LEWISBURG, WV 24901-4049
(304) 645-4043
(304) 645-4713
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1073
WV
207Q00000X
Family Medicine Physician
Primary
1073
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001371982
BC/BS
WV
01
—
1014329
BRICKSTREET
WV
01
—
288222
ONE NET
WV
01
—
4458347
AETNA
WV
01
—
888222
OPTIMUM CHOICE
WV
Enumeration date
09/06/2006
Last updated
06/21/2018
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