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Individual

RYAN R FUHRIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
339376-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33937624000001
BLUE CROSS BLUE SHIELD
UT
05
528901630009
UT
01
5417
DMBA
UT
01
83014
PEHP
UT
01
870388269BR1
EDUCATORS MUTUAL
UT
01
DB3830
RAILROAD MEDICARE
UT
Enumeration date
08/03/2005
Last updated
01/04/2011
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