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Individual
BRENT S RICH
Active
Individual
BRENT S RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1861381205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18925
ARIZONA STATE MEDICAL LICENSE
AZ
Enumeration date
08/08/2006
Last updated
07/29/2020
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