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NPI Code Detail

MEDICARE: REID RHODES

MEDICARE: REID RHODES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner10922009-4405UT

General Provider Information

NPI Number : 1073475554
Entity Type Code : Individual
Provider Name (Legal Business Name) : REID RHODES
Provider Business Mailing Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-585-7676
Fax Number :
Provider Business Practice Location Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-585-7676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 03/31/2026

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Directions to “ REID RHODES ” Practice Location

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