Individual
JOHN DAVID LARAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
819 E MARKET PLACE DR STE 300, SPANISH FORK, UT 84660-1396
(801) 465-2559
(801) 465-2590
Mailing address
325 W CENTER ST, SPANISH FORK, UT 84660-2060
(801) 798-7301
(801) 798-8513
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
188767-1205
UT
207V00000X
Obstetrics & Gynecology Physician
9786
MT
207VX0000X
Obstetrics Physician
Q6223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255378212
—
ID
05
—
1255378212
—
MT
05
—
1255378212
—
WA
Enumeration date
05/31/2006
Last updated
09/25/2025
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