Individual
TYLER CASE NESMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
Mailing address
4904 W ORAIBI DR, GLENDALE, AZ 85308-9227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101023756
MI
Other
Enumeration date
04/04/2016
Last updated
02/15/2022
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