Individual
MR. TYLER SCOTT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPH
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-1100
(801) 587-6340
(801) 587-6346
Mailing address
PO BOX 3208, SALT LAKE CITY, UT 84110-3208
(801) 587-6340
(801) 587-6346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7758004-1206
UT
Other
Enumeration date
09/13/2010
Last updated
11/08/2021
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