Individual
MR. NEPHI TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1093 SPYGLASS HL, SYRACUSE, UT 84075-7182
(801) 577-2190
Mailing address
1093 SPYGLASS HL, SYRACUSE, UT 84075-7182
(801) 577-2190
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
UT
177F00000X
Lodging Provider
Primary
—
UT
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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