Individual provider · Type 1 NPI

Tyler Hepworth, PA

Medical Physician Assistant · Pocatello, ID

NPI number 1447541487 Active

Practice location

777 Hospital Way
Pocatello, ID 83201-5175

Call (480) 421-9700 Map

Fax (480) 421-9899

Mailing address

PO Box 15070
Scottsdale, AZ 85267-5070

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-907 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1447541487

Tyler Hepworth, PA's National Provider Identifier is 1447541487, issued on Apr 26, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 19, 2011.