CHARLES D RICHARDSON

OGDEN, UT
NPI1619105236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  74194651205)
Enumeration Date2009-06-23
Last Update Date2009-12-02
Business Address
-- CHARLES D RICHARDSON M.D.
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403-3295
Phone number: 801-387-5300
Mailing Address
-- CHARLES D RICHARDSON M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5300
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