Individual
LEON KEITH HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6822 E 1000 S, FORT DUCHESNE INDIAN HEALTH SERVICE, FT DUCHESNE, UT 84026
(435) 725-6873
Mailing address
6822 EAST 1000 SOUTH, FORT DUCHESNE INDIAN HEALTH SERVICE, FORT DUCHESNE, UT 84026
(435) 725-6874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00018829
WA
183500000X
Pharmacist
Primary
R4959
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700000000009
—
UT
Enumeration date
09/23/2008
Last updated
04/05/2013
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