Individual
JEREMY RONALD RINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 HARRISON BLVD, SUITE 3855, OGDEN, UT 84403-3186
(801) 387-4750
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-4750
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
54236
WI
208200000X
Plastic Surgery Physician
Primary
7850850-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00928882
MEDICARE RAILROAD
UT
Enumeration date
12/12/2008
Last updated
09/22/2011
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