Individual
RONALD MARK FIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 E. 100 N., LOGAN, UT 84321
(435) 770-4673
(435) 755-6548
Mailing address
1015 E. 100 N., LOGAN, UT 84321
(435) 770-4673
(435) 755-6548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2704071205
UT
207Q00000X
Family Medicine Physician
Primary
942704071205
UT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
972704071205
UT
Other
Enumeration date
08/05/2006
Last updated
07/27/2016
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