Individual provider · Type 1 NPI
Tyler Jay Homewood, DO
Otolaryngology/Facial Plastic Surgery Physician · San Tan Valley, AZ
NPI number
1336778190
Active
Practice location
270 E Hunt Hwy Ste 18
San Tan Valley, AZ 85143-4964
Mailing address
1620 N Main St
Spanish Fork, UT 84660-1008
Other practice locations
- 708 E State Highway 260 Ste B, Payson, AZ 85541-4959 · (480) 400-5854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 011176 (AZ) |
| Facial Plastic Surgery Physician | 207YS0123X | DO2025-0186 (NM) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1336778190
Tyler Jay Homewood, DO's National Provider Identifier is 1336778190, issued on Apr 3, 2020. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jul 21, 2026.