Organization
ADVANCED CLINICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER SHINER DDS (MEMBER)
(435) 781-0660
Entity
Organization
Contact information
Practice address
1272 W HIGHWAY 40, VERNAL, UT 84078-2925
(435) 781-0660
(435) 781-0661
Mailing address
1272 W HIGHWAY 40, VERNAL, UT 84078-2925
(435) 781-0660
(435) 781-0661
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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