Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RAYMOND JACK MIDDLETON, M.D.
Active Sole ProprietorDR. RAYMOND JACK MIDDLETON, M.D. is a Family Medicine healthcare provider located in IVINS, Utah. NPI 1083670459 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · IVINS, UT
Registration Details
- NPI Number
- 1083670459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2006 (20.305819884527 yrs)
- Last Updated
- Dec 22, 2016
- License
-
161827-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
653 SOUTH 170 WESTIVINS, UT, 84738Browse UT providers · Browse ZIP 84738
- Phone
- 4356328628
- Fax
- 4356341320
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in IVINS, UT
| Name | Credential | NPI |
|---|---|---|
| DR. MARK LEE WARDLE | D.O. | 1639274574 |
| MARY C FREESH | DO | 1700031473 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.