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Individual

DR. RICHARD J HEROLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1160 E 3900 S STE G200, SALT LAKE CITY, UT 84124
(801) 268-7766
(801) 270-3395
Mailing address
PO BOX 742382, ATLANTA, GA 30374-2382
(801) 270-3395

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1637071205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11017608
UNION PACIFIC RAILROAD
UT
01
15032
IHC
UT
Enumeration date
06/13/2005
Last updated
11/25/2020
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