Most Relevant Information
Provider Data
| NPI Number: | 1003511510 |
| Provider Name: | ALEX TYLER SOMERVILLE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2023 |
| Last Updated: | 04/03/2023 |
Provider Practice Location
90 JACKSON PIKE
GALLIPOLIS
OH
456311560
Practice Location Phone/Fax
| Phone: | 7404465000 |
| Fax: |
Provider Mailing Location
PO BOX 2
POINT PLEASANT
WV
255500002
Provider Mailing Phone/Fax
| Phone: | 3048120551 |
| Fax: |