Dr. Russell J Guymon
Orthodontists
191 N 200 E
Logan
, Utah 84321-4605
Dr. Russell J Guymon
Orthodontists
191 N 200 E
Logan
, Utah 84321-4605
(435) 752-5991
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Russell J Guymon
- 191 N 200 E
- Logan, UT
- Zip : 84321-4605
- Phone : (435) 752-5991
Second Address
- Dr. Russell J Guymon
- 191 N 200 E
- Logan, UT
- Zip : 84321-4605
- Phone : (435) 752-5991
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 8908035 | UT |
| N | 1223X0400X | Orthodontists | D-4402-OR | ID |
National Provider Identifier
| NPI | 1003133174 |
|---|---|
| Provider Name | Dr. Russell J Guymon |
| First Address | Logan, UT 84321-4605 |
| Second Address | Logan, UT 84321-4605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2010 |
| Last Update Date | 20/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.