MEDICARE: DR. RICHARD FRANCIS LABASKY MD

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	208800000X	Urology Physician	172098-1205	UT

General Provider Information

NPI Number	:	1538226600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD FRANCIS LABASKY MD

Provider Business Mailing Address
First Line	:	PO BOX 9395
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-0395
Country	:	US
Telephone Number	:	801-712-7915
Fax Number	:

Provider Business Practice Location Address
First Line	:	9600 S 1300 E
Second Line	:	#303
City	:	SANDY
State	:	UT
Zip	:	84094-3766
Country	:	US
Telephone Number	:	801-501-5300
Fax Number	:	801-501-5350

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/13/2021

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