RICHARD JOHN

LOGAN, UT
NPI1649894692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  13421605-8904)
Enumeration Date2020-06-05
Last Update Date2023-11-06
Business Address
RICHARD JOHN DO
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 208-234-4700
Mailing Address
RICHARD JOHN DO
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: