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TYSON WENDELL BROADBENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
454 E MEDICAL WAY, HEBER CITY, UT 84032-1391
(435) 654-2500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 657-4400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13911708-1205
UT

Other

Enumeration date
03/31/2021
Last updated
06/03/2024
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