Organization
RICHARD W. PARKINSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W PARKINSON M.D. (OWNER)
(801) 225-8484
Entity
Organization
Contact information
Practice address
5314 N 250 W, SUITE 220, PROVO, UT 84604-5691
(801) 225-8484
(801) 225-6170
Mailing address
5314 N 250 W, SUITE 220, PROVO, UT 84604-5691
(801) 225-8484
(801) 225-6170
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
158613-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
551849816001
—
UT
Enumeration date
05/18/2012
Last updated
05/18/2012
Update your record
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