Individual
MCKENNAN J. THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4166 SUMMER RIDGE RD, MORGAN, UT 84050-9344
(801) 809-3766
(801) 516-0639
Mailing address
4166 SUMMER RIDGE RD, MORGAN, UT 84050-9344
(801) 809-3766
(801) 516-0639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
56747
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
9817986-1205
UT
Other
Enumeration date
06/19/2012
Last updated
04/17/2024
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