Individual
SEALTIEL ADRIAN TINAJERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
861 N MAIN ST, RICHFIELD, UT 84701-1840
(435) 558-7031
(435) 558-7035
Mailing address
147 METCALF LN, MONUMENT, CO 80132-2236
(435) 531-6269
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
11485112-1204
UT
Other
Enumeration date
11/13/2015
Last updated
04/06/2021
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