Individual
TYLER W NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 EAST MEDICAL CENTER DRIVE, DIXIE REGIONAL MEDICAL CENTER, ST. GEORGE, UT 84790
(435) 251-1000
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5761858-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506346
—
NV
05
—
121128500
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
57618581200001
BCBS
UT
05
—
807171900
—
ID
01
—
83766
PEHP
UT
01
—
870545614TYM
EDUCATORS MUTUAL
UT
01
—
902394
DESERET MUTUAL
UT
05
—
941486
—
AZ
01
—
99467
HEALTHY U
UT
01
—
QM0000075886
ALTIUS
UT
01
—
QMP000003262279
MOLINA
UT
Enumeration date
10/16/2006
Last updated
10/17/2012
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