Individual
RYAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
550 E 1400 N, LOGAN, UT 84341-2406
(435) 716-4900
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11017957A
IN
207Q00000X
Family Medicine Physician
Primary
12503209-1204
UT
Other
Enumeration date
06/27/2014
Last updated
03/23/2026
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