NPI 1811428048

Dominick Ruybal, DO

Practitioner Family Medicine Physician Montezuma Creek, UT

Practice location

Address: 1478 East Highway 162, Montezuma Creek, UT 84534-0130
Phone: (435) 651-3700
Fax: (435) 678-0649

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 11747257-1204 (UT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1811428048
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2017
Record last updated: 21 Apr 2025

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.