Individual
RICHARD M ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3585 N UNIVERSITY AVE STE 150, PROVO, UT 84604-6630
(801) 356-6100
(801) 356-2113
Mailing address
3585 N UNIVERSITY AVE STE 150, PROVO, UT 84604-6630
(801) 356-6100
(801) 356-2113
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
180329-1205
UT
Other
Enumeration date
07/15/2005
Last updated
09/06/2011
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