Individual
RYAN RICHARD BLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
882 N MAIN ST STE 2, RICHFIELD, UT 84701-1840
(435) 287-2444
(435) 287-2446
Mailing address
882 N MAIN ST STE 2, RICHFIELD, UT 84701-1840
(435) 287-2444
(435) 287-2446
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8460926-4405
UT
Other
Enumeration date
04/01/2024
Last updated
04/08/2024
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