Individual
TYLER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 CHAMBERS ST STE 200, OGDEN, UT 84403-4519
(801) 627-2122
Mailing address
1443 S PEBBLECREEK DR, LAYTON, UT 84041-8111
(801) 326-9001
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
97257104405
UT
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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