Individual
TYLER RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-2140
(801) 581-7553
Mailing address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-2140
(801) 581-7553
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
11261638-1205
UT
2085R0202X
Diagnostic Radiology Physician
11261638-1205
UT
Other
Enumeration date
04/09/2014
Last updated
11/15/2021
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