NPI 1033452271

Tyler Jason Fieldsted, DO

Practitioner Family Medicine Physician Provo, UT

Practice location

Address: 475 W 940 N, Provo, UT 84604-3301
Phone: (801) 357-7926
Fax: (801) 357-7927
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9096189-1204 (UT)

Other Family Medicine providers in Utah →

Registry record

NPI: 1033452271
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2013
Record last updated: 29 Sep 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.