Individual
TYLER FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 TRACY WAY, CHARLESTON, WV 25311-1257
(304) 343-4583
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-1724
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35.142987
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2019
Last updated
09/26/2024
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