Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 30830 | MN |
Y | 2080P0202X | Pediatric Cardiologist | 16035 | WV |
N | 2080P0202X | Pediatric Cardiologist | 30830 | MN |
NPI | 1174542062 |
---|---|
Provider Name | Dr. Lee Allan Pyles |
First Address | Morgantown, WV 26506-1200 |
Second Address | Morgantown, WV 26506-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0057324 | (05) | MT |
1017140 | PREFERRED ONE (01) | MN |
122246 | UCARE (01) | MN |
25-00035 | MEDICA CHOICE (01) | MN |
25-09026 | MEDICA PRIMARY (01) | MN |
754882600 | (05) | MN |
803107 | ARAZ (01) | MN |
9G749PY | BCBS (01) | MN |
HP28819 | HEALTHPARTNERS (01) | MN |