JACKSON ROYAL RICHARDS

SOUTH SALT LAKE, UT
NPI1972244655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA  R-12525)
Enumeration Date2022-04-05
Last Update Date2026-06-17
Business Address
JACKSON ROYAL RICHARDS MD, PhD
955 W 3300 S
SOUTH SALT LAKE, UT 84119-3325
Phone number: 801-583-2500
Mailing Address
JACKSON ROYAL RICHARDS MD, PhD
10954 S COASTAL DUNE DR
SOUTH JORDAN, UT 84009-4706
Phone number: 319-356-1373
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