Individual
ROBERT WILSON RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
830 N 980 W, OREM, UT 84057-7709
(801) 724-4000
(801) 724-4001
Mailing address
830 N 980 W, OREM, UT 84057-7709
(801) 724-4000
(801) 724-4001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6329438-4405
UT
Other
Enumeration date
10/20/2011
Last updated
10/07/2022
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