Provider Demographics
NPI:1407380470
Name:RATHBUN, JOHN TYLER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TYLER
Last Name:RATHBUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1380 E MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2123
Mailing Address - Country:US
Mailing Address - Phone:435-251-2600
Mailing Address - Fax:435-251-2610
Practice Address - Street 1:1380 E MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2123
Practice Address - Country:US
Practice Address - Phone:435-251-2600
Practice Address - Fax:435-251-2610
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2023-07-02
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Provider Licenses
StateLicense IDTaxonomies
UT13390118-1205207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine