Individual
DR. CHRISTOPHER RYAN LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3337
(801) 960-7558
Mailing address
226 W 3300 N, PROVO, UT 84604-4474
(801) 960-7558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009701
AZ
207R00000X
Internal Medicine Physician
Primary
13485169-1204
UT
Other
Enumeration date
03/30/2019
Last updated
08/23/2023
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