Individual
PARKER RICHARD ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(800) 880-3566
(801) 432-2670
Mailing address
2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
(469) 505-1652
(469) 436-3976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10397447-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
103974474406
UT
Other
Enumeration date
12/02/2022
Last updated
12/23/2022
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