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Dr. Tyler J. Prouty, MD
Obstetrics & Gynecology Physician in Bridgeport, West Virginia
NPI 1225247877

Tyler J. Prouty is a Obstetrics & Gynecology Physician based in Bridgeport, WV. Tyler J. Prouty practices in Bridgeport, WV and has the professional credentials of MD. The NPI Number for Tyler J. Prouty is 1225247877 and holds a License No. 22435 (West Virginia).

The current practice location address for Tyler J. Prouty is 527 Medical Park Dr Ste 205, Bridgeport, WV and can be reached out via phone at 304-933-3800 and via fax at 304-933-3815.

Location: 527 Medical Park Dr Ste 205, Bridgeport, WV, 26330-9009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225247877
Provider Name
Tyler J. Prouty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
527 Medical Park Dr Ste 205, Bridgeport, WV, 26330-9009
Phone Number
304-933-3800
Fax Number
304-933-3815
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810009618 05 WV
22435 01 WV WV LICENSE
4211642 01 WV MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr Ste 205
City
Bridgeport
State
West Virginia
Zip
26330-9009
Phone Number
304-933-3800
Fax Number
304-933-3815
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr Ste 205
City
Bridgeport
State
West Virginia
Zip
26330-9009
Phone Number
304-933-3800
Fax Number
304-933-3815
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
22435 (West Virginia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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