Individual
RICHARD VAN LEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8179
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
6474961-1205
UT
Other
Enumeration date
11/02/2005
Last updated
07/21/2022
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