Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Ryan Watkins, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679869614

John Ryan Watkins, MD is a Student in an Organized Health Care Education/Training Program in Orem, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 N Palisades Dr
Orem, UT 84097-4341
Phone: (801) 222-9200
Fax: (385) 203-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 11573862-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679869614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020
Mailing address2100 Stantonsburg Rd, Greenville, NC 27834-2818

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