Individual
TYLER C HUNTSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-5609
(801) 878-1251
Mailing address
11367 S PORTOBELLO RD, SOUTH JORDAN, UT 84095-7974
(210) 269-3373
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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