Individual
RICHARD N HARTVIGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2200
(801) 296-6199
Mailing address
380 N 200 W, SUITE 209, BOUNTIFUL, UT 84010-7079
(801) 298-1300
(801) 296-6199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
150506-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04058
—
UT
01
—
278691
DESERET MUTUAL BENEFITS ADMINISTRATORS
UT
01
—
300083844
RAILROAD MEDICARE
UT
01
—
87029475500001
BCBS
UT
Enumeration date
11/08/2005
Last updated
01/31/2011
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