NPI 1225247877
Tyler J. Prouty, MD
Practice location
- Address
- 527 Medical Park Dr STE 205, Bridgeport, WV 26330-9009
- Phone
- (304) 933-3800
- Fax
- (304) 933-3815
- Mailing address
- 527 Medical Park Dr STE 204, Bridgeport, WV 26330-9009
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1225247877
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 May 2007
- Record last updated
- 6 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.