Whalio Doctors

NPI 1053631069

Tye B Harrison, DO

Practitioner Sports Medicine (Family Medicine) Physician Brigham City, UT

Practice location

Address
600 W Hospital Rd, Brigham City, UT 84302-3006
Phone
(435) 734-2041
Fax
(435) 723-8028
Mailing address
2561 S 1560 W STE B, Woods Cross, UT 84087-2361

Registered specialties

Sports Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 9857371-1204 (UT)

Registry record

NPI
1053631069
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jun 2010
Record last updated
24 Oct 2023

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.