Individual
RICHARD JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(208) 234-4700
Mailing address
1350 N 500 E, LOGAN, UT 84341-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13421605-8904
UT
Other
Enumeration date
06/05/2020
Last updated
11/06/2023
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