Individual
DR. TYSON J. VERHAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13334773-1205
UT
207L00000X
Anesthesiology Physician
BP10063296
TX
Other
Enumeration date
06/12/2018
Last updated
09/01/2023
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