Doctor Name: | DAVID HYLER-BOTH |
NPI Number: | 1154424000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D. O. |
License Number: | 1073 |
Business Practice Address: | 163 Greenbrier Street Rupert, WV - 259840000 |
Business Phone Number: | 3047170070 |
Business Fax Number: | 3047170072 |
Mailing Address: | Po Box 1049, LEWISBURG |
State: | WV |
Postal Code: | 249014049 |
Phone Number: | 3046454043 |
Fax Number: | 3046454713 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 1073 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |