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NPI Code Detail

MEDICARE: AMY K OYLER MD

MEDICARE:   AMY K OYLER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician55559TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285766709
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY K OYLER MD
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD STE 315
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9401
Country : US
Telephone Number : 901-226-4003
Fax Number : 901-227-8591
Provider Business Practice Location Address
First Line : 6401 POPLAR AVE STE 610
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-4806
Country : US
Telephone Number : 901-227-5045
Fax Number : 901-224-5043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2007
Last Update Date : 03/12/2024

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