Search › Idaho › 207Q00000X
Tyler Tolman
NPI 1740774439 · on the registry since 2018
Practice
- Address
- 3101 E State St Ste And2107
Eagle, ID 83616 - Phone
- (208) 473-3500
- Organisation at this address
- University Professional Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-15
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