Tyson Dekorse, M.D.

NPI #1043421936 in Provo, Utah

Provider Information

NPI Number
1043421936
Entity Type
Individual
Name
Tyson Dekorse, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
M.D.
Enumeration Date
May 24, 2007
Last Updated
Jan 12, 2009

Practice Location

Address
475 W 940 N
City
Provo
State
Utah
ZIP Code
84604-3301
Phone
(801) 357-7940

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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