TYE JOHNSON

PA specializing in physician assistant in Provo, Utah

NPI: 1467955526

Provider Type

1

Practice Locations

Mailing Location

1055 N 500 W

ATTN: CREDENTIALING

PROVO, UT 84604

📞 8013548225

📠 8014180941

Practice Location

555 W SR 164

SALEM, UT 84653

📞 8014654896

📠 8014653267

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:3/15/2018
Last Updated:11/27/2023

Credentials

Primary Credential:PA