Individual
TYLER JORDAN POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 N WOODRUFF AVE, IDAHO FALLS, ID 83401-4335
(208) 557-3255
(208) 471-5069
Mailing address
150 N WOODRUFF AVE, IDAHO FALLS, ID 83401-4335
(208) 557-3255
(208) 471-5069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1590
ID
Other
Enumeration date
03/14/2018
Last updated
12/23/2025
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