Individual
MICHAEL RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W 1400 S, GARLAND, UT 84312-9100
(435) 257-3684
(435) 257-7554
Mailing address
300 W 1400 S, GARLAND, UT 84312-9100
(801) 360-3662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
729798-4405
UT
Other
Enumeration date
09/23/2014
Last updated
05/15/2020
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