Individual
DR. CHARLES DAVID RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1391 E FARM HILL DR, SALT LAKE CITY, UT 84117-7354
(801) 272-6859
Mailing address
1391 E FARM HILL DR, SALT LAKE CITY, UT 84117-7354
(801) 272-6859
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1530211205
UT
Other
Enumeration date
06/22/2006
Last updated
09/24/2008
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