Individual
DR. TYLER PRIMAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7924
(928) 763-2273
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12576081-1204
UT
Other
Enumeration date
03/27/2016
Last updated
07/17/2025
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