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NPI Code Detail

MEDICARE: RICHARD NELSON IRION M.D.

MEDICARE: RICHARD NELSON IRION M.D.
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
12085R0202XDiagnostic Radiology Physician8588524-1205UT

General Provider Information

NPI Number : 1679738744
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD NELSON IRION M.D.
Provider Business Mailing Address
First Line : 5295 S COMMERCE DR STE 550
Second Line :
City : MURRAY
State : UT
Zip : 84107-4736
Country : US
Telephone Number : 801-313-4110
Fax Number : 801-618-1583
Provider Business Practice Location Address
First Line : 5295 S COMMERCE DR STE 550
Second Line :
City : MURRAY
State : UT
Zip : 84107-4736
Country : US
Telephone Number : 801-313-4110
Fax Number : 801-618-1583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2008
Last Update Date : 12/21/2024

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