Individual
DR. RYAN THOMAS DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7138 S 2000 E, #106, SALT LAKE CITY, UT 84121-3757
(801) 942-1800
(801) 944-1865
Mailing address
2749 HARTFORD ST, SALT LAKE CITY, UT 84106-3652
(801) 485-2720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7148380-1205
UT
Other
Enumeration date
10/29/2008
Last updated
08/09/2011
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