Individual
RONALD M MYLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 941-1852
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
8306305-3102
UT
363LF0000X
Family Nurse Practitioner
8306305-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
8306305-8900
UT
Other
Enumeration date
12/16/2016
Last updated
04/25/2017
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