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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043421936

Tyson Dekorse, MD is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

475 W 940 N
Provo, UT 84604-3301
Phone: (801) 357-7940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043421936
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESJanuary 12, 2009
Mailing address475 W 940 N, Provo, UT 84604-3301

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