Tye B Harrison
Family Doctor - Sports Medicine
600 W Hospital Rd
Brigham City
, Utah 84302-3006
Tye B Harrison
Family Doctor - Sports Medicine
600 W Hospital Rd
Brigham City
, Utah 84302-3006
(801) 505-0803
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Tye B Harrison
- 2561 S 1560 W Ste B
- Woods Cross, UT
- Zip : 84087-2361
- Fax : (801) 505-0803
- Phone : (801) 505-0821
Second Address
- Tye B Harrison
- 600 W Hospital Rd
- Brigham City, UT
- Zip : 84302-3006
- Fax : (435) 723-8028
- Phone : (435) 734-2041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 9857371-1204 | UT |
National Provider Identifier
| NPI | 1053631069 |
|---|---|
| Provider Name | Tye B Harrison |
| First Address | Woods Cross, UT 84087-2361 |
| Second Address | Brigham City, UT 84302-3006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2010 |
| Last Update Date | 02/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.