RENNY THEODORE MCDANIEL

PAYSON, UT
NPI1013283449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  10738150-1205)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TX  Q4631)
Enumeration Date2012-03-29
Last Update Date2019-03-21
Business Address
Dr. RENNY THEODORE MCDANIEL M.D., M.P.H.
15 S 1000 E STE 100
PAYSON, UT 84651-5592
Phone number: 801-465-9480
Mailing Address
Dr. RENNY THEODORE MCDANIEL M.D., M.P.H.
325 W CENTER ST
SPANISH FORK, UT 84660-2060
Phone number: 801-798-7301