Individual
RICHARD KEITH SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 N RUNNING CREEK WAY, BLDG B STE 100, LEHI, UT 84043-5565
(801) 766-4214
(801) 407-3052
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
318535-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326107764
—
UT
Enumeration date
05/15/2006
Last updated
11/27/2023
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