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Individual

HAROLD DAVID TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 E COLLEGE ST, HOMER, LA 71040-3202
(318) 927-2024
(318) 927-3723
Mailing address
620 E COLLEGE ST, HOMER, LA 71040-3202
(318) 927-2024
(318) 927-3723

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
016382
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1358266
LA
Enumeration date
09/21/2005
Last updated
06/28/2010
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