NPI 1023511961

Tyson Schwab

Practitioner Family Medicine Physician Provo, UT

Practice location

Address: 395 W Bulldog Blvd STE 205, Provo, UT 84604-3328
Phone: (801) 357-1770
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 7057658-1205 (UT)

Other Family Medicine providers in Utah →

Registry record

NPI: 1023511961
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2018
Record last updated: 18 Nov 2021

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.