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RUSSELL WAYNE RHOADES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7291
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7291

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5928040-1204
UT

Other

Enumeration date
07/29/2006
Last updated
05/10/2022
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