Individual
NATHAN ALLEN RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1134 N 500 W, SUITE 101, PROVO, UT 84604-3383
(801) 357-8310
Mailing address
1134 N 500 W, SUITE 101, PROVO, UT 84604-3383
(801) 357-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9218046-1204
UT
207R00000X
Internal Medicine Physician
MRO-1274
ID
Other
Enumeration date
03/31/2012
Last updated
09/22/2015
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