MEDICARE: RICHARD RIZZO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	138804-9922	UT

General Provider Information

NPI Number	:	1407917123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD RIZZO

Provider Business Mailing Address
First Line	:	370 E SOUTH TEMPLE
Second Line	:	SUITE 350
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1206
Country	:	US
Telephone Number	:	501-320-9810
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 E SOUTH TEMPLE
Second Line	:	SUITE 350
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1206
Country	:	US
Telephone Number	:	501-320-9810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1114928868 — BEVAN D BLAKE PT, DPT
Practice Location Address:

370 E SOUTH TEMPLE , #250
SALT LAKE CITY, UT
84111-1206

Practice Phone: 801-512-2656
Practice Fax: 801-906-0336

1922009695 — TYLER M HANSON PT, DPT, OCS
Practice Location Address:

370 E SOUTH TEMPLE , SUITE 250
SALT LAKE CITY, UT
84111-1206

Practice Phone: 801-512-2656
Practice Fax: 801-906-0336

1619927795 — MRS. ROSE B OLDS APRN
Practice Location Address:

370 E SOUTH TEMPLE , STE 550
SALT LAKE CITY, UT
84111-1206

Practice Phone: 801-537-7070
Practice Fax: 801-355-9322

1720022783 — DR. MARK JAMES CALLAN D.D.S.
Practice Location Address:

370 E SOUTH TEMPLE , SUITE 220
SALT LAKE CITY, UT
84111-1206

Practice Phone: 801-355-8287
Practice Fax:

1053415513 — DR. ESTHER RASHKIN PH.D., LCSW
Practice Location Address:

370 E SOUTH TEMPLE , SUITE 550
SALT LAKE CITY, UT
84111-1206

Practice Phone: 801-565-4855
Practice Fax:

1669543864 — MS. JANET L. WOLF LCSW
Practice Location Address:

370 E SOUTH TEMPLE , SUITE 550
SALT LAKE CITY, UT
84111-1206

Practice Phone: 801-256-4923
Practice Fax:

Directions to “ RICHARD RIZZO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.