Individual
RICHARD HENRY GRISARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L;CO
Contact information
Practice address
FAIRFAX RD AT VIRGINIA ST, SALT LAKE CITY, UT 84103-4399
(801) 536-3820
Mailing address
FAIRFAX RD AT VIRGINIA ST, SALT LAKE CITY, UT 84103-4399
(801) 536-3820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
106808-4201
UT
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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