Tyra Pomazal

NPI #1417253709 in Provo, Utah

Provider Information

NPI Number: 1417253709
Entity Type: Individual
Name: Tyra Pomazal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 3, 2011
Last Updated: Feb 3, 2011

Practice Location

Address: 659 N 700 E
City: Provo
State: Utah
ZIP Code: 84606-6921
Phone: (530) 526-3935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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