Individual
MICHAEL RYAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F24-116138
UT
Other
Enumeration date
08/21/2024
Last updated
02/13/2025
About Stedi
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