Individual
WILLIAM RICHARD UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 A AVE NE, STE 300, CEDAR RAPIDS, IA 52402-5057
(319) 368-9300
(319) 368-5690
Mailing address
855 A AVE NE, STE 300, CEDAR RAPIDS, IA 52402-5057
(319) 368-9300
(319) 368-5690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036108990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108990
—
IL
Enumeration date
08/23/2005
Last updated
08/15/2012
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