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Individual

CHRISTINA G RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M D P C

Contact information

Practice address
1046 E 100 S, SALT LAKE CITY, UT 84102-1520
(801) 746-2885
(801) 746-2886
Mailing address
1046 E 100 S, SALT LAKE CITY, UT 84102-1520
(801) 746-2885
(801) 746-2886

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
374408-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841401924005
UT
Enumeration date
03/20/2007
Last updated
12/02/2014
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