NPI 1093051971
John Raynor
Practice location
- Address
- 525 W 200 N, Mona, UT 84648
- Phone
- (801) 375-4240
- Fax
- (801) 375-4241
- Mailing address
- 619 N 500 W, Provo, UT 84601-1547
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1093051971
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Dec 2012
- Record last updated
- 20 Dec 2012
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.