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Tyler Egbert
NPI 1467909317 · on the registry since 2016
Practice
- Address
- 429 N Idaho St
Wendell, ID 83355 - Phone
- (208) 536-3090
- Fax
- (208) 536-3090
Additional practice sites
- 128 5th Ave W, Jerome, ID
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho