IndividualActive
Tyler Hanny, DO
NPI 1700452901 · Family Medicine Physician · Logan, UT
Provider details
- NPI number
- 1700452901
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Student, Health Care
Practice location
412 N 200 E
Logan, UT 84321-4038
Phone: (435) 713-2800
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (1)
- 2920 N 4th StFlagstaff, AZ 86004-1816Phone: (928) 522-9400
Registry dates
- Enumerated
- 2021-05-28
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.