Individual provider · Type 1 NPI

Tyson Roberts, PA

Physician Assistant · Eagle Mountain, UT

NPI number 1346137726 Active

Practice location

4095 E Pony Express Pkwy
Eagle Mountain, UT 84005-5529

Call (801) 429-8037 Map

Fax (801) 753-7476

Mailing address

1055 N 500 W, Attn: Credentialing
Provo, UT 84604

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1346137726

Tyson Roberts, PA's National Provider Identifier is 1346137726, issued on Jun 19, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eagle Mountain, UT. The record was last updated on Jun 25, 2025.