Individual
DR. JOHN DARRELL THUESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 N MAIN ST, SALT LAKE CITY, UT 84103-1635
(801) 359-2169
Mailing address
354 N MAIN ST, SALT LAKE CITY, UT 84103-1635
(801) 359-2169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148807-1205
UT
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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