Individual
DR. RYAN D. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 W MYSTIC CREEK WAY, SOUTH JORDAN, UT 84095-4691
(801) 618-5774
Mailing address
717 W MYSTIC CREEK WAY, SOUTH JORDAN, UT 84095-4691
(801) 618-5774
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7036277-1205
UT
Other
Enumeration date
09/22/2009
Last updated
10/26/2021
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