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Edward Henry Tiley III, MD
Vascular Surgery Physician in Charleston, West Virginia
NPI 1063510956

Edward Henry Tiley III is a Vascular Surgery Physician based in Charleston, WV and is specialized in Vascular Surgery. Edward Henry Tiley III practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Edward Henry Tiley III is 1063510956 and holds a License No. 12774 (West Virginia).

The current practice location address for Edward Henry Tiley III is 9 Courtney Dr, Charleston, WV and can be reached out via phone at 304-925-3115 and via fax at 304-925-2088. You can also correspond with Edward Henry Tiley III through the mailing address at 9 COURTNEY DR, CHARLESTON, WV - 25304-2699 (mailing address contact number: 304-925-3115).

Location: 9 Courtney Dr, Charleston, WV, 25304-2699
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Provider Profile Details
NPI Number
1063510956
Provider Name
Edward Henry Tiley III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9 Courtney Dr, Charleston, WV, 25304-2699
Phone Number
304-925-3115
Fax Number
304-925-2088
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0128612000 05 WV
institution
Provider Business Practice Location Address Details
Address
9 Courtney Dr
City
State
Zip
25304-2699
Phone Number
304-925-3115
Fax Number
304-925-2088
person
Provider Business Mailing Address Details
Address
9 Courtney Dr
City
State
Zip
25304-2699
Phone Number
304-925-3115
Fax Number
304-925-2088
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
12774 (West Virginia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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