MEDICARE: DR. JOHN DARRELL THUESON M.D.

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
1	207Q00000X	Family Medicine Physician	148807-1205	UT

General Provider Information

NPI Number	:	1093966228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN DARRELL THUESON M.D.

Provider Business Mailing Address
First Line	:	354 N MAIN ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-1635
Country	:	US
Telephone Number	:	801-359-2169
Fax Number	:

Provider Business Practice Location Address
First Line	:	354 N MAIN ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-1635
Country	:	US
Telephone Number	:	801-359-2169
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	10/07/2008

Similar Medicare Providers

1194360677 — HONEY STRICKLAND
Practice Location Address:

958 E 5750 S
SALT LAKE CITY, UT
84121-1635

Practice Phone: 801-440-3174
Practice Fax:

1154302974 — DEAN A FLUGSTAD DDS PA
Practice Location Address:

113 W CENTER ST
LAKE CITY, MN
55041-1635

Practice Phone: 651-345-3335
Practice Fax: 651-345-3336

1699723189 — DR. REBECCA ELLEN RIPLEY D.D.S.
Practice Location Address:

113 W CENTER ST
LAKE CITY, MN
55041-1635

Practice Phone: 651-345-3335
Practice Fax: 651-345-3336

1760511398 — ACKERMANN TOTAL EYE CARE INC
Practice Location Address:

117 W CENTER ST
LAKE CITY, MN
55041-1635

Practice Phone: 651-345-3039
Practice Fax: 651-345-3506

1528084340 — JOSEPH CZVIK MD
Practice Location Address:

1635 LAKE SAN MARCOS DR , STE 202
SAN MARCOS, CA
92078-4661

Practice Phone: 760-471-1020
Practice Fax:

1225148349 — DR. JANET DIANA KAZANJIAN DDS
Practice Location Address:

1635 SILVER LAKE BLVD , DR JANET D KAZANJIAN
LOS ANGELES, CA
90026

Practice Phone: 323-665-1211
Practice Fax:

Directions to “ DR. JOHN DARRELL THUESON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.