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Individual

RICHARD E ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 EAST 3900 SOUTH, SUITE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
(801) 265-2008
Mailing address
1250 EAST 3900 SOUTH, SUITE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
(801) 265-2008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50964421205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870617263004/D6283
UT
Enumeration date
12/08/2005
Last updated
11/22/2024
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