Individual
TYLER MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 N OREM BLVD, OREM, UT 84057-6601
(801) 691-0672
Mailing address
234 N OREM BLVD, OREM, UT 84057-6601
(801) 691-0672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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