person
Tyson Dekorse, MD
Student in an Organized Health Care Education/Training Program in Provo, Utah
NPI 1043421936

Tyson Dekorse is a Student in an Organized Health Care Education/Training Program based in Provo, UT. Tyson Dekorse practices in Provo, UT and has the professional credentials of MD. The NPI Number for Tyson Dekorse is 1043421936 and holds a License No. (Utah).

The current practice location address for Tyson Dekorse is 475 W 940 N, Provo, UT and can be reached out via phone at 801-357-7940. You can also correspond with Tyson Dekorse through the mailing address at 475 W 940 N, PROVO, UT - 84604-3301 (mailing address contact number: 801-357-7940).

Location: 475 W 940 N, Provo, UT, 84604-3301
person
Provider Profile Details
NPI Number
1043421936
Provider Name
Tyson Dekorse
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
475 W 940 N, Provo, UT, 84604-3301
Phone Number
801-357-7940
Fax Number
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
475 W 940 N
City
State
Zip
84604-3301
Phone Number
801-357-7940
Fax Number
person
Provider Business Mailing Address Details
Address
475 W 940 N
City
State
Zip
84604-3301
Phone Number
801-357-7940
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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