Individual
TYREL K SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S KANSAS ST, RUSSELL, KS 67665-3000
(785) 483-3333
(785) 483-0781
Mailing address
513 S KANSAS ST, RUSSELL, KS 67665-3535
(701) 301-1925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL12388
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
07/31/2012
Last updated
08/11/2015
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