Individual
ROSS URRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
198 N 1200 E, LEHI, UT 84043-2294
(801) 653-2709
Mailing address
198 N 1200 E, LEHI, UT 84043-2294
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167519
NABP
—
01
—
9334381-1702
STATE OF UTAH DEPARTMENT OF PROFESSIONAL LICENSING
UT
Enumeration date
01/31/2019
Last updated
01/31/2019
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