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Organization

RICHARDS GENERAL SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID TAYLOR RICHARDS M.D. (ONWER/OPERATOR)
(801) 262-2830
Entity
Organization

Contact information

Practice address
175 N 100 W, STE 202, VERNAL, UT 84078-2049
(435) 789-4180
(435) 781-1185
Mailing address
5249 GRAVENSTEIN PARK, MURRAY, UT 84123-4562
(801) 262-2830
(888) 893-1576

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5586768-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
396421983001
UT
01
55878120001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
08/29/2006
Last updated
08/10/2011
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