Individual
CORY MICHAEL RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12176 S 1000 E STE 4, DRAPER, UT 84020-3221
(801) 572-3750
(801) 572-1097
Mailing address
1247 S 860 W, PROVO, UT 84601-6516
(801) 369-1085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11046461-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07231979
DOB
—
Enumeration date
12/16/2018
Last updated
05/11/2026
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