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Individual

TYLER DEJONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W THOMAS RD STE 800, PHOENIX, AZ 85013-4217
(602) 406-1234
(602) 406-6368
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
77231
AZ
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
77231
AZ

Other

Enumeration date
04/27/2021
Last updated
09/09/2025
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