Individual
JARED M TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(801) 856-8998
Mailing address
2444 E 2860 S, ST GEORGE, UT 84790-4707
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
90140801205
UT
207L00000X
Anesthesiology Physician
AZ16525451928
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ16525451928
RESIDENT LIMITED LICENSE ARIZONA
AZ
Enumeration date
02/25/2010
Last updated
04/22/2024
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