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Tyler Homewood, DO — NPI 1336778190, San Tan Valley, AZ | NPI Central

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Tyler Homewood, DO

NPI 1336778190 · Otolaryngology/Facial Plastic Surgery Physician · San Tan Valley, AZ

Provider details

NPI number: 1336778190
Entity type: Individual
Primary specialty: Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: DO2025-0186 (NM)

Specialties & taxonomies

Otolaryngology/Facial Plastic Surgery PhysicianPrimary207YX0905XLicense 011176 (AZ)
Allopathic & Osteopathic Physicians
Facial Plastic Surgery Physician207YS0123XLicense DO2025-0186 (NM)
Allopathic & Osteopathic Physicians

Practice location

270 E Hunt Hwy Ste 18

San Tan Valley, AZ 85143-4964

Phone: (480) 400-5854

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

1620 N Main St

Spanish Fork, UT 84660-1008

Additional practice locations (1)

8401 Market St
Boardman, OH 44512-6725
Phone: (330) 729-8770

Registry dates

Enumerated: 2020-04-03
Last updated: 2026-02-16
Certified: 2026-02-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.