Individual
TYSON RANDALL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
201 W LAYTON PKWY STE 1A, LAYTON, UT 84041-3692
(801) 543-6875
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 543-6875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11096351-4405
UT
Other
Enumeration date
08/02/2022
Last updated
03/02/2023
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