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Individual

DR. RYAN TAYLOR RUSHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9501
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 213-3900
(801) 585-3655

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
4764917-0501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480030542
RAILROAD MEDICARE PIN
Enumeration date
10/13/2006
Last updated
11/17/2021
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