Individual
ISAAC RAND RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 W 940 N, PROVO, UT 84604-3301
(801) 357-7930
(801) 357-7014
Mailing address
475 W 940 N, PROVO, UT 84604-3301
(801) 357-7930
(801) 357-7014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8046569-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/16/2010
Last updated
04/12/2013
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