Individual
RICHARD C. KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, STE 3490, OGDEN, UT 84403-3271
(801) 387-2650
(801) 475-1621
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-2650
(801) 475-1621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
186076-1205
UT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
186076-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003041500
—
ID
01
—
110053269
RAILROAD MEDICARE
UT
05
—
94002193
—
CO
05
—
MD443UT
—
AK
Enumeration date
10/13/2006
Last updated
09/04/2012
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