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Individual
TYLER W NELSON
Active
Individual
TYLER W NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5761858-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506346
—
NV
05
—
121128500
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
57618581200001
BCBS
UT
05
—
807171900
—
ID
01
—
83766
PEHP
UT
01
—
870545614TYM
EDUCATORS MUTUAL
UT
01
—
902394
DESERET MUTUAL
UT
05
—
941486
—
AZ
01
—
99467
HEALTHY U
UT
01
—
QM0000075886
ALTIUS
UT
01
—
QMP000003262279
MOLINA
UT
Enumeration date
10/16/2006
Last updated
10/17/2012
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