Russell Wayne Rhoades, DO

Internal Medicine Physician · Provo, UT

Individual Active NPI

NPI number 1164436507

Practice location

1034 N 500 W
Provo, UT 84604-3380
Phone
(801) 357-7291

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NPI record

NPI
1164436507
Entity type
Individual (Type 1)
Enumeration date
July 29, 2006
Last updated
May 10, 2022
Certified
May 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 5928040-1204 UT

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone
(801) 357-7291

Other practice locations (1)

  • 1175 E 50 S Ste 241, American Fork, UT 84003-2849 · (801) 492-5999

About Dr. Rhoades

Russell Wayne Rhoades, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 1034 N 500 W, Provo, UT 84604-3380. The NPI number 1164436507 was assigned on July 29, 2006 and the record was last updated on May 10, 2022.

Dr. Rhoades lists a license in the registry: #5928040-1204 (UT) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Russell Wayne Rhoades, DO?

The NPI number is 1164436507.

What is the phone number of Dr. Rhoades?

The phone number listed for the practice location is (801) 357-7291.

Where is Dr. Rhoades located?

1034 N 500 W, Provo, UT 84604-3380.

What is the taxonomy code for Dr. Rhoades?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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