DR. Tyson Jensen Tidwell, D.O.

NPI #1215347463 in Heber City, Utah

Provider Information

NPI Number
1215347463
Entity Type
Individual
Name
DR. Tyson Jensen Tidwell, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
D.O.
Enumeration Date
Apr 28, 2014
Last Updated
Apr 26, 2022

Practice Location

Address
454 E MEDICAL WAY
State
Utah
ZIP Code
84032-1391
Phone
(435) 657-4400

Specialties & Taxonomy Codes

Specialty
Pediatrics
Hospitalist

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