Individual
DR. RICHARD ISAAC PUSHKIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE, #285, SALT LAKE CITY, UT 84103-2853
(801) 408-1384
Mailing address
324 10TH AVE, #285, SALT LAKE CITY, UT 84103-2853
(801) 408-1384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54167551205
UT
Other
Enumeration date
05/26/2006
Last updated
07/09/2007
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