Healthcare Provider Details
I. General information
NPI: 1487881660
Provider Name (Legal Business Name): NATHAN RICHARD MCARTHUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2009
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
118 E THRIVE DR STE 100
SARATOGA SPRINGS UT
84045-5551
US
IV. Provider business mailing address
1912 W 930 N
PLEASANT GROVE UT
84062-4104
US
V. Phone/Fax
- Phone: 801-407-1599
- Fax: 801-492-1991
- Phone: 801-492-1999
- Fax: 801-492-1991
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 83621141205 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: