Organization
DRY CREEK FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K SHARP M.D. (OWNER)
(801) 766-4214
Entity
Organization
Contact information
Practice address
3300 N. RUNNING CREEK WAY, BUILDING B, SUITE 100, LEHI, UT 84043
(801) 766-4214
(801) 407-3052
Mailing address
3300 N. RUNNING CREEK WAY, BUILDING B, SUITE 100, LEHI, UT 84043
(801) 766-4214
(801) 407-3052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3185351205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029445370001
—
UT
01
—
02944537007001
BLUE CROSS BLUE SHIELD
UT
01
—
264182
ALTIUS
UT
01
—
5838465
AETNA
UT
Enumeration date
02/08/2008
Last updated
02/08/2008
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