Individual
TYLER S CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10968 N ALPINE HWY, HIGHLAND, UT 84003-8874
(801) 763-2900
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 763-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53765521205
UT
Other
Enumeration date
07/31/2006
Last updated
08/23/2022
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