Individual
RAUL KEM WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 460, BOUNTIFUL, UT 84010-7672
(801) 294-7246
(801) 294-2560
Mailing address
1551 RENAISSANCE TOWNE DR STE 460, BOUNTIFUL, UT 84010-7672
(801) 294-7246
(801) 294-2560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6955001-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000075146
MEDICARE PTAN
UT
Enumeration date
06/12/2008
Last updated
06/03/2016
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