Individual
TYSON NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 N LIBERTY ST STE 400, BOISE, ID 83704-8707
(208) 367-3320
(208) 267-3979
Mailing address
900 N LIBERTY ST STE 400, BOISE, ID 83704-8707
(208) 367-3320
(208) 367-3979
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M-15604
ID
Other
Enumeration date
04/17/2015
Last updated
01/16/2022
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