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Organization

RICHARD EASON DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD EASON D.P.M. (PODIATRIST)
(801) 750-0258
Entity
Organization

Contact information

Practice address
2269 W BONANZA CT, SOUTH JORDAN, UT 84095-8903
(801) 750-0258
(801) 302-9363
Mailing address
2269 W BONANZA CT, SOUTH JORDAN, UT 84095-8903
(801) 750-0258
(801) 302-9363

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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