Individual
DR. RUSSELL S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
DIVISION OF GERIATRICS, UNIVERSITY OF UTAH SCHOOL OF MEDICINE, AB193 SOM, SALT LAKE CITY, UT 84132-0001
(801) 587-9103
Mailing address
DIVISION OF GERIATRICS, UNIVERSITY OF UTAH SCHOOL OF MEDICINE, AB193 SOM, SALT LAKE CITY, UT 84132-0001
(801) 587-9103
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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