Individual
TYLER BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 S 600 E, SALT LAKE CITY, UT 84102-1007
(801) 322-1001
(801) 322-4257
Mailing address
1717 WOODSIDE DR, HOLLADAY, UT 84124-1636
(801) 322-1001
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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