Ronald Gary Duerksen MD

NPI 1164503900 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1164503900
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1055 NORTH 300 WEST
SUITE 416
PROVO UT, 84604-3354, US
Phone (801) 357-7770
Fax (801) 357-7639
Business Location
1055 NORTH 300 WEST
SUITE 416
PROVO UT, 84604-3354, US
Phone (801) 357-7770
Fax (801) 357-7639
Toxanomy
Taxonomy Code 208100000X
License State Utah
License Number 1587841205
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According to our database, Ronald Gary Duerksen MD NPI is 1164503900, taxonomy code is 208100000X and license number is 1587841205, license state is located at Utah. Ronald Gary Duerksen MD physically located at 1055 North 300 West, Provo UT, 84604-3354. NPI Number Ronald Gary Duerksen MD has the Individual type.

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1164503900 NPI number is provided on an as is basis without warranty of any kind. 1164503900 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Gary Duerksen MD are for informational purposes only.