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Contact Information

TYLER A ANDERSON
4550 HARRISON BLVD
OGDEN, UT84403-3113
 Phone: 801-334-9444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

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

NPI Number 1730816257
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2022
Last updated 08/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 12863640-9923
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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