Individual
TYLER ROBERT COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
362 S 100 E, NEPHI, UT 84648-1814
(435) 660-9244
Mailing address
362 S 100 E, NEPHI, UT 84648-1814
(435) 660-9244
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
379571-5501
UT
Other
Enumeration date
11/29/2025
Last updated
11/29/2025
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