Individual
TIMOTHY L BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 PERSHING ST STE 100, CRAIG, CO 81625-2947
(435) 637-7860
Mailing address
PO BOX 261, STE 2, PRICE, UT 84501-0261
(435) 637-7860
(435) 888-3520
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
340176-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340176120000
BLUE CROSS
UT
Enumeration date
08/24/2006
Last updated
06/14/2023
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