Organization
G LYNN RASMUSSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G LYNN RASMUSSEN MD (PRESIDENT)
(801) 314-4002
Entity
Organization
Contact information
Practice address
5848 FASHION BLVD STE 110, SALT LAKE CITY, UT 84107-6121
(801) 314-4002
(801) 314-4015
Mailing address
5848 FASHION BLVD STE 110, SALT LAKE CITY, UT 84107-6121
(801) 314-4002
(801) 314-4015
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
1641831205
UT
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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