Individual
DR. MICHAEL L RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475W 940 N, PROVO, UT 84604
(801) 357-7909
(801) 357-8188
Mailing address
475W 940 N, PROVO, UT 84604
(801) 357-7909
(801) 357-8188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274487-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854058788-D0509
—
UT
Enumeration date
08/22/2006
Last updated
01/12/2009
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