Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN RYAN WATKINS, M.D.
DeactivatedJOHN RYAN WATKINS, M.D. is a General Practice healthcare provider located in OREM, Utah. NPI 1679869614 is deactivated in the NPPES registry. Verify at CMS.
General Practice · OREM, UT
This NPI has been deactivated.
The record was deactivated on January 22, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1679869614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2011 (8.568306010929 yrs)
- Last Updated
- May 28, 2020
- Deactivated
- Jan 22, 2020
- License
-
11573862-1205 (UT)
Practice Information
- Address
-
777 N PALISADES DROREM, UT, 840974341Browse UT providers · Browse ZIP 84097
- Phone
- 8012229200
- Fax
- 3852030079
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
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.