Organization
PREMIER HEALTH NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TYLER (PRESIDENT)
(480) 388-7585
Entity
Organization
Contact information
Practice address
81 N 100 E, HURRICANE, UT 84737-1813
(480) 388-7585
Mailing address
81 N 100 E, HURRICANE, UT 84737-1813
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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