Individual
MR. TYLER NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
434 E 5350 S STE D, OGDEN, UT 84405
(801) 827-9100
(801) 827-9110
Mailing address
1760 N 200 E STE 101, LOGAN, UT 84341-1202
(435) 787-0560
(435) 752-4673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6609005-1206
UT
Other
Enumeration date
02/05/2015
Last updated
08/18/2018
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