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Contact Information

TYLER A SMITH, MD
1034 N 500 W
PROVO, UT84604-3380
 Phone: 801-357-4423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for TYLER A SMITH · (Male)

NPI # 1487004529
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2016
Last updated 06/19/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • IA License # R-16072
  • UT License # 10516421-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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