Individual
DR. RICHARD L STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 N UNIVERSITY AVE STE 23, PROVO, UT 84604-7125
(801) 377-4745
(801) 373-5762
Mailing address
1275 N UNIVERSITY AVE STE 23, PROVO, UT 84604-7125
(801) 377-4745
(801) 373-5762
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
154114-1205
UT
207ND0900X
Dermatopathology Physician
154114-1205
UT
207NS0135X
Procedural Dermatology Physician
154114-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300032
UHC
—
01
—
07-115-7001
MEDICARE RAILROAD
—
01
—
107004856101
SELECTHEALTH
—
01
—
QM0000031427
ALTIUS
—
Enumeration date
06/01/2005
Last updated
08/12/2008
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