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Individual

MR. RICHARD PRATT HEILBUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPSS

Contact information

Practice address
265 N STATE ST, MOUNT PLEASANT, UT 84647-1108
(435) 462-2781
Mailing address
265 N STATE ST, MOUNT PLEASANT, UT 84647-1108
(435) 462-2781

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RH8055
UT
Enumeration date
07/15/2022
Last updated
07/15/2022
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