NPI 1003133174
Russell J Guymon, DDSMS
Practice location
- Address
- 191 N 200 E, Logan, UT 84321-4605
- Phone
- (435) 752-5991
Registered specialties (2)
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Orthodontics and Dentofacial Orthopedics Dentistry
Registry record
- NPI
- 1003133174
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Apr 2010
- Record last updated
- 20 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.