Organization
RUBICON HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN HESS (MANAGER)
(385) 393-7486
Entity
Organization
Contact information
Practice address
1536 WOODLAND PARK DR STE 210, LAYTON, UT 84041-5620
(385) 393-7486
Mailing address
1536 WOODLAND PARK DR STE 210, LAYTON, UT 84041-5620
(385) 393-7486
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5642777-4405
APRN, FNP LICENSE
UT
Enumeration date
08/16/2024
Last updated
10/04/2024
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