Individual
PAUL K RITCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1184 E 80 N, AMERICAN FORK, UT 84003-2906
(801) 763-3885
(801) 763-3887
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5694941-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00764
UNITED HEALTHCARE
UT
01
—
107029565101
IHC
UT
01
—
222391
ALTIUS
UT
01
—
78935
PEHP
UT
01
—
86345
DMBA
UT
05
—
870281028000
—
UT
01
—
870281028PKR
EMIA
UT
01
—
P00202105
PALMETTO GBA
—
Enumeration date
06/14/2006
Last updated
11/26/2018
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