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Individual

MR. TYLER COE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1020 S MAIN ST STE 100, SALT LAKE CITY, UT 84101-3194
(888) 949-4864
Mailing address
PO BOX 572070, MURRAY, UT 84157-2070
(801) 263-7138

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6152291-4405
UT
363L00000X
Nurse Practitioner
AP7939
AZ

Other

Enumeration date
07/10/2015
Last updated
03/01/2019
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