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Contact Information

JARED J TYSON MD PC
1551 RENAISSANCE TOWNE DR
SUITE 400
BOUNTIFUL, UT84010-7667
 Phone: 801-295-7200
 Fax: 801-295-4930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JARED J TYSON MD PC

NPI Number 1306236492
LBN Legal business name JARED J TYSON MD PC
Authorized official ANNETTE SIMMONS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2015
Last updated 01/28/2015 - About 11 years ago
Identifiers
UT License # 8915908-1205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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