Individual
ERIC OWEN TYLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1962 CHEROKEE RD, ALEXANDER CITY, AL 35010-3437
(256) 234-5021
(256) 234-5640
Mailing address
PO BOX 1269, ALEXANDER CITY, AL 35011-1269
(256) 234-5021
(256) 234-5640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00010362
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51014753
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
04/17/2006
Last updated
07/08/2007
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