Individual
TROY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1388 S NAVAJO ST, SLC, UT 84104-3493
(801) 328-5750
Mailing address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 412-6920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
UT
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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