Individual
SAMUEL STEPHEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5848 S FASHION BLVD STE 120, SALT LAKE CITY, UT 84107-6157
(801) 314-4900
(801) 314-4919
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4015
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10622246-1206
UT
Other
Enumeration date
12/21/2017
Last updated
02/13/2025
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