Tyson Dekorse in Provo - Student In An Organized Health Care Education/training Program
Tyson Dekorse - NPI 1043421936
Tyson Dekorse is a Student In An Organized Health Care Education/training Program in Provo, Utah. Tyson Dekorse practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Tyson Dekorse is 1043421936. The last update date is 2009-01-12.
Tyson Dekorse's current location address is 475 W 940 N, Provo, Utah. You can contact this provider via phone number 8013577940. The mailing address for Tyson Dekorse is 475 W 940 N, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyson Dekorse |
|---|---|
| Address | 475 W 940 N, Provo, Utah |
| Phone Number | 8013577940 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043421936 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2009-01-12 |
Provider Mailing Address Detail
| Address | 475 W 940 N |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043301 |
| Phone Number | 8013577940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the Tyson Dekorse's 1043421936?
The Tyson Dekorse's NPI (National Provider Identifier) Number is 1043421936. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tyson Dekorse?
The Tyson Dekorse is physically situated at 475 W 940 N, in the city of Provo, state of UT, with the postal code 846043301.
What is Tyson Dekorse's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tyson Dekorse's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.
On what date did the Tyson Dekorse receive the assignment of its 1043421936 from the Centers for Medicare & Medicaid Services?
The Tyson Dekorse was issued its 1043421936 by the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date was the information regarding Tyson Dekorse, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tyson Dekorse, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-12.