Individual
TYLER JAY HOMEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
270 E HUNT HWY STE 18, SAN TAN VALLEY, AZ 85143-4964
(480) 400-5854
Mailing address
1620 N MAIN ST, SPANISH FORK, UT 84660-1008
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
DO2025-0186
NM
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
011176
AZ
390200000X
Student in an Organized Health Care Education/Training Program
58.031558
OH
Other
Enumeration date
04/03/2020
Last updated
02/16/2026
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