TYSON DEKORSE M.D. - NPI 1043421936 - Student in an Organized Health Care Education/Training Program in Provo, UT

Q: What is Tyson Dekorse's NPI number?

The NPI number for Tyson Dekorse is 1043421936. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Tyson Dekorse's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyson Dekorse was last updated on January 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tyson Dekorse M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYSON DEKORSE M.D. (NPI 1043421936) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1043421936

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYSON DEKORSECredential: M.D.

Location Address475 W 940 NProvo, UT 84604-3301

Mailing Address475 W 940 NProvo, UT 84604-3301 · (801) 357-7940

Phone(801) 357-7940

Sole ProprietorNo

Enumeration DateMay 24, 2007

Last NPPES UpdateJanuary 12, 2009

✔ NPI 1043421936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

475 W 940 N, Provo, UT 84604

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