Individual
IAN MCMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
672 W. 400 S., SUITE 101, SPRINGVILLE, UT 84663
(801) 491-9883
(801) 489-3141
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 354-8225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2797362-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3372
—
UT
Enumeration date
07/10/2006
Last updated
10/18/2023
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