Charles Ty Nuttall
- Male
Medical Specialty
Professional ID
- NPI: 1114151735
- PECOS ID: 0446301733
- Enrollment ID: I20090626000168
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1991
Location
- Address1: 699 E S Temple
- Address2: Suite 300
- City: Salt Lake City
- State: Utah
- Zip Code: 84102
- Phone Number: (801)906-8780
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):