Individual
R RICHARD RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 300 W, STE 302, PROVO, UT 84604-3344
(801) 852-3461
(801) 852-3459
Mailing address
3550 N UNIVERSITY AVE, STE 250, PROVO, UT 84604
(801) 374-9625
(801) 374-9690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2830291205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87051626Y009
—
UT
Enumeration date
06/07/2006
Last updated
09/14/2021
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