RICHARD EUGENE SHANTEAU

PROVO, UT
NPI1326146689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: UT  1542811205)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
RICHARD EUGENE SHANTEAU MD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
RICHARD EUGENE SHANTEAU MD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760