Individual
TYSON BRADLEY OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
777 N MAIN ST, TOOELE, UT 84074-1611
(435) 843-2634
Mailing address
777 N MAIN ST, TOOELE, UT 84074-1611
(435) 843-2634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14204275-1204
UT
207Q00000X
Family Medicine Physician
204-T1
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2022
Last updated
07/16/2025
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