Individual
EMILY TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3500
(801) 536-3799
Mailing address
42575 WASHINGTON, PALM DESERT, CA 92211-8850
(760) 360-0333
(760) 360-1053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
271279-1206
UT
Other
Enumeration date
11/27/2006
Last updated
10/21/2021
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