Individual provider · NPI-1
Richard E Allen, M.D.
Family Medicine · Salt Lake City, UT
NPI number1831174226
StatusActive
Last updated in NPPESNov 22, 2024
Details
- NPI
- 1831174226
- Entity type
- Individual (NPI-1)
- Name
- Richard E Allen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2005
- Certification date
- Nov 22, 2024
- Last updated
- Nov 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 50964421205 | UT | Yes |
Practice location
1250 East 3900 SouthSuite 260
Salt Lake City, UT 84124-1371
Phone 801-265-2000 · Fax 801-265-2008
Mailing address
1250 East 3900 SouthSuite 260
Salt Lake City, UT 84124-1371
Phone 801-265-2000 · Fax 801-265-2008
Other practice locations
3618 Folker Cir
Salt Lake, UT 84109-3664
Salt Lake, UT 84109-3664
Phone 801-870-0464 · Fax 801-265-2008
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.