Individual
DR. RICHARD BRIAN MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 E KIMBALLS LN STE 207, DRAPER, UT 84020-5021
(801) 576-2300
(844) 249-1746
Mailing address
PO BOX 100253, ATLANTA, GA 30384-0253
(801) 568-5972
(844) 249-1746
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7276060-1205
UT
207XS0106X
Orthopaedic Hand Surgery Physician
7276030-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265638357
—
UT
Enumeration date
04/23/2007
Last updated
01/20/2020
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