Individual
TYLER RICHARD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 E RIVERSIDE DR STE 302, SAINT GEORGE, UT 84790-8722
(435) 652-6024
Mailing address
617 E RIVERSIDE DR STE 302, SAINT GEORGE, UT 84790-8722
(435) 652-6024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9009540-4405
UT
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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