Individual
GRANT J RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3200
Mailing address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3200
(435) 623-3145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1846141205
UT
Other
Enumeration date
07/03/2006
Last updated
03/24/2015
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