Individual
STEVEN G RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1403 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 316-9620
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(801) 316-9620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11809415-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286657
BCBS
OH
01
—
0104083
UHC
OH
01
—
141867207026
CARESOURCE
OH
05
—
2172830
—
OH
01
—
P00013823
RRM
OH
Enumeration date
04/04/2006
Last updated
06/18/2021
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