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Individual

DR. RICHARD BRIAN MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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