Individual
DR. TYSON STUART HORKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 267-1855
Mailing address
1634 N 725 W, CENTERVILLE, UT 84014-1099
(801) 296-1499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6020052-1205
UT
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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