Individual
ANDREW RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
490 W 24TH ST, OGDEN, UT 84401-1223
(208) 310-3024
Mailing address
490 W 24TH ST, OGDEN, UT 84401-1223
(208) 310-3024
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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