Individual
TYSON JAY HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
1777 E 1310 S, SPANISH FORK, UT 84660-9261
(801) 580-9533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12115660-1205
UT
207P00000X
Emergency Medicine Physician
19103
NV
Other
Enumeration date
03/24/2016
Last updated
02/24/2021
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