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Individual

MR. TYLER DAVID SOMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
Mailing address
1172 S 950 E, SUITE 220, SPRINGVILLE, UT 84663-2808
(507) 219-1246

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11474
MN
363AM0700X
Medical Physician Assistant
Primary
9557562-1206
UT

Other

Enumeration date
09/27/2013
Last updated
07/21/2022
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