Provider Demographics
NPI:1033199062
Name:TYUS-MYLES, APRIL L (MD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:L
Last Name:TYUS-MYLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3878 PERSHALL RD
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-1246
Mailing Address - Country:US
Mailing Address - Phone:314-839-7500
Mailing Address - Fax:314-839-8545
Practice Address - Street 1:3878 PERSHALL RD
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-1246
Practice Address - Country:US
Practice Address - Phone:314-839-7500
Practice Address - Fax:314-839-8545
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002011476208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics