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Individual

TYE B HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
600 W HOSPITAL RD, BRIGHAM CITY, UT 84302-3006
(435) 734-2041
(435) 723-8028
Mailing address
2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821
(801) 505-0803

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
9857371-1204
UT

Other

Enumeration date
06/02/2010
Last updated
10/24/2023
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