NPI 1306236492

Jared J Tyson MD PC

Organisation Specialist Bountiful, UT

Practice location

Address: 1551 Renaissance Towne Dr Suite 400, Bountiful, UT 84010-7667
Phone: (801) 295-7200
Fax: (801) 295-4930

Authorised official

Name: Annette Simmons
Title: Office Manager
Phone: (801) 295-7200

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 8915908-1205 (UT)

Other Specialist providers in Utah →

Registry record

NPI: 1306236492
Entity type: Organization
NPI issued: 28 Jan 2015
Record last updated: 28 Jan 2015

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.