RUSSELL WAYNE RHOADES

PROVO, UT
NPI1164436507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  5928040-1204)
Enumeration Date2006-07-29
Last Update Date2022-05-10
Business Address
RUSSELL WAYNE RHOADES DO
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7291
Mailing Address
RUSSELL WAYNE RHOADES DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-7291