Individual
TYSON WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11593 S DOUGLAS VISTA DR, DRAPER, UT 84020-1480
(801) 592-7884
Mailing address
11593 S DOUGLAS VISTA DR, DRAPER, UT 84020-1480
(801) 592-7884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
12/29/2023
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