Individual
DAVID TILLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8651
Mailing address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP2282058A40
OH
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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