Individual
EMILY TIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 609-9798
Mailing address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9278723-1206
UT
363A00000X
Physician Assistant
Primary
9278723-1206
UT
363AM0700X
Medical Physician Assistant
9278723-1206
UT
Other
Enumeration date
05/09/2021
Last updated
12/09/2025
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