Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared J Tyson MD PC

Organization Specialist · NPI 1306236492

Jared J Tyson MD PC is a Specialist in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1551 Renaissance Towne Dr Ste 400
Bountiful, UT 84010-7667
Phone: (801) 295-7200
Fax: (801) 295-4930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 8915908-1205 (UT)

Record details

NPI number1306236492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Simmons — Office Manager · (801) 295-7200
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJanuary 28, 2015
Mailing address1551 Renaissance Towne Dr, Suite 400, Bountiful, UT 84010-7667

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