TYE BRIAN JENSEN

PAYSON, UT
NPI1245515725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8405540-1206)
Enumeration Date2011-10-17
Last Update Date2023-11-27
Business Address
TYE BRIAN JENSEN PA
97 PROFESSIONAL WAY SUITE 2
PAYSON, UT 84651-1614
Phone number: 801-465-4896
Mailing Address
TYE BRIAN JENSEN PA
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225