Richard D Sontheimer, MD Valid NPI
Individual provider · Dermatology Physician · Salt Lake City, UT
- NPI
- 1376511600
- Type
- Individual (Type 1)
- Primary specialty
- Dermatology Physician (Dermatology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207N00000X
- License number
- 24255 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-11
- Last updated
- 2021-11-17
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
(801) 587-6340