Individual
RICHARD PAUL COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
(801) 357-7424
Mailing address
1055 N 300 W STE 500, PROVO, UT 84604-3312
(801) 357-7704
(801) 357-7424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
52668101205
UT
207W00000X
Ophthalmology Physician
MD00043978
WA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
52668101205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186949
DEPT OF LABOR AND INDUSTR
WA
01
—
3933CO
REGENCE INSURANCE NUM
WA
01
—
4532CO
REGENCE INSURANCE NUM
WA
01
—
4539CO
REGENCE INSURANCE NUM
WA
01
—
5393CO
REGENCE INSURANCE NUM
WA
05
—
8398349
—
WA
Enumeration date
01/02/2007
Last updated
08/16/2023
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