Individual
TYLER GREGORY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1054 E RIVERSIDE DR STE 202, ST GEORGE, UT 84790-4829
(661) 733-5430
Mailing address
1054 E RIVERSIDE DR STE 202, ST GEORGE, UT 84790-4829
(661) 733-5430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12600904-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12600904-1202
DOPL OF UTAH
UT
Enumeration date
01/06/2022
Last updated
05/10/2024
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