Wayment, Tyler R

Wayment, Tyler R is an individual health care provider with primary practice located at 738 N College Rd Suite A, Twin Falls ID 83301-3385. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Wayment, Tyler R can be contacted via phone (208) 814-7000.

Contact Information

Primary practice address
738 N College Rd Suite A Twin Falls ID 83301-3385
Phone: (208) 814-7000
Fax: (208) 734-7294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X M9557 Idaho
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X M9557 Idaho

Profile Details

NPI number 1669423539
LBN Legal business name Wayment, Tyler R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 2nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669423539 NPPES
Idaho MEDICAID 807460000
Idaho Other P00721156

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