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Individual

DR. ANDREW TYSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
590 WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
PO BOX 413026, SALT LAKE CITY, UT 84141-3026
(801) 213-3900
(801) 587-5411

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
68512491205
UT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
6851249-1205
UT

Other

Enumeration date
04/23/2008
Last updated
12/20/2021
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