Troy K Tyler, DO
in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982125076
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1982125076
- Entity type
- Individual (NPI-1)
- Name
- Troy K Tyler
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2017
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | OS20586 | FL | Yes | |
| 208600000X | Surgery | 2017018675 | MO |
Practice location
1824 King St Ste 200Jacksonville, FL 32204-4736
Phone 904-384-3343
Mailing address
201 Nw R D Mize RdBlue Springs, MO 64014-2513
Other practice locations
201 Nw R D Mize Rd
Blue Springs, MO 64014-2513
Blue Springs, MO 64014-2513
Phone 816-655-5361
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