Tyler Hepworth, PA

NPI #1447541487 in Pocatello, Idaho

Provider Information

NPI Number
1447541487
Entity Type
Individual
Name
Tyler Hepworth, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Apr 26, 2011
Last Updated
Jul 19, 2011

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5175
Phone
(480) 421-9700

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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