Individual
JOHN RYAN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 N PALISADES DR, OREM, UT 84097-4341
(801) 222-9200
(385) 203-0079
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4184
(252) 744-4125
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11573862-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2011
Last updated
05/28/2020
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