Individual
MR. JOHN HENRY FUNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2576
Mailing address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9005642-3102
UT
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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