RICHARD CHRISTIAN MONTENEGRO

SALT LAKE CITY, UT
NPI1720553324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-10-10
Last Update Date2019-11-27
Business Address
RICHARD CHRISTIAN MONTENEGRO PA
1388 S NAVAJO ST
SALT LAKE CITY, UT 84104-3493
Phone number: 801-955-2360
Mailing Address
RICHARD CHRISTIAN MONTENEGRO PA
2621 S 3270 W
WEST VALLEY CITY, UT 84119-1119
Phone number: 385-261-2737