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Individual

DR. RYAN P MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2132 N 1700 W, SUITE 110, LAYTON, UT 84041-7057
(801) 779-3500
(801) 779-3508
Mailing address
2132 N 1700 W, SUITE 110, LAYTON, UT 84041-7057
(801) 779-3500
(801) 779-3508

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
7861247-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1091081
LA
05
1194915561
UT
Enumeration date
07/31/2007
Last updated
04/02/2021
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