| Tyler J Rundell, PA-C | |
|
585 Main St, Green River, UT 84525 | |
| (435) 564-3434 | |
| Not Available |
| Full Name | Tyler J Rundell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 585 Main St, Green River, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861962912 | NPI | - | NPPES |
| 10877596-1206 | Other | UT | UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING |
| 10877596-8906 | Other | UT | UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING |
| 1152696 | Other | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10877596-8906 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler J Rundell, PA-C 4325 S Doreen Cir, Millcreek, UT 84107-2816 Ph: (607) 316-3109 | Tyler J Rundell, PA-C 585 Main St, Green River, UT 84525 Ph: (435) 564-3434 |
Mr. Kim Thyrill Mcfarlane, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 585 West Main Street, Green River, UT 84525 Phone: 435-564-3434 Fax: 435-564-3214 | |
Loye West, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 305 West Main Street, Green River, UT 84525 Phone: 435-564-3434 | |
Mrs. Shannon Taylor Thurston, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 585 West Main Street, Green River, UT 84525 Phone: 435-564-3434 Fax: 435-564-3214 |