Individual
DR. RICHARD H TIPPETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5171 COTTONWOOD ST, STE 950, MURRAY, UT 84107-5704
(801) 507-9555
(801) 507-9550
Mailing address
5171 COTTONWOOD ST, STE 950, MURRAY, UT 84107-5704
(801) 507-9555
(801) 507-9550
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1748671205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005609104
INTERMOUNTAIN HEALTHCARE
UT
01
—
47150
PUBLIC EMPLOYEES (PEHP)
UT
01
—
52479
DESERET MUTUAL (DMBA)
UT
01
—
870639983T12
EDUCATORS MUTUAL (EMIA)
UT
Enumeration date
03/25/2006
Last updated
01/22/2020
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