Tyler Newman PA-C

NPI 1205227709 - Physician Assistant - 363A00000X

NPI Details
NPI 1205227709
Gender Male
Enumeration Date 02/05/2015
Last Updated 02/05/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
4403 HARRISON BLVD
SUITE #2635
OGDEN UT, 84403-3271, US
Phone (801) 387-3515
Fax
Business Location
788 LUPINE WAY
FARMINGTON UT, 84025-3871, US
Phone (801) 604-2386
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number 6609005-1206
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According to our database, Mr. Tyler Newman PA-C NPI is 1205227709, taxonomy code is 363A00000X and license number is 6609005-1206, license state is located at Utah. Tyler Newman PA-C physically located at 4403 Harrison Blvd, Ogden UT, 84403-3271. NPI Number Tyler Newman PA-C has the Individual type.

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1205227709 NPI number is provided on an as is basis without warranty of any kind. 1205227709 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Newman PA-C are for informational purposes only.