Individual
TYRA POMAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
659 N 700 E, PROVO, UT 84606-6921
(530) 526-3935
Mailing address
659 N 700 E, PROVO, UT 84606-6921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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