Individual
RYAN PULHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1055 N 500 W BLDG A, PROVO, UT 84604-3305
(801) 812-5033
Mailing address
1055 N 500 W BLDG A, PROVO, UT 84604-3305
(801) 812-5033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7895301-4405
UT
Other
Enumeration date
10/06/2021
Last updated
08/24/2022
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