Jared J Tyson MD PC

NPI #1306236492 in Bountiful, Utah

Provider Information

NPI Number: 1306236492
Entity Type: Organization
Organization Name: Jared J Tyson MD PC
Primary Specialty: Specialist
Enumeration Date: Jan 28, 2015
Last Updated: Jan 28, 2015

Practice Location

Address: 1551 RENAISSANCE TOWNE DR
Address 2: SUITE 400
City: Bountiful
State: Utah
ZIP Code: 84010-7667
Phone: (801) 295-7200

Authorized Official

Name: ANNETTE SIMMONS
Title: OFFICE MANAGER
Phone: (801) 295-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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