Ronald G. Duerksen, Md, PC

NPI #1356613558 in Provo, Utah

Provider Information

NPI Number: 1356613558
Entity Type: Organization
Organization Name: Ronald G. Duerksen, Md, PC
Primary Specialty: Specialist
Enumeration Date: Feb 2, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 1055 N 300 W STE 416
City: Provo
State: Utah
ZIP Code: 84604-3354
Phone: (801) 357-7770

Authorized Official

Name: JAN GRAHAM THURSTON
Title: OFFICE MANAGER
Phone: (801) 357-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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