Basic Information
Provider Information
NPI: 1730137571
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IRION
FirstName: RICHARD
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5770 S 250 E
Address2: SUITE 290
City: MURRAY
State: UT
PostalCode: 841078100
CountryCode: US
TelephoneNumber: 8013144240
FaxNumber: 8013144246
Practice Location
Address1: 5770 S 250 E
Address2: SUITE 290
City: MURRAY
State: UT
PostalCode: 841078100
CountryCode: US
TelephoneNumber: 8013144240
FaxNumber: 8013144246
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 08/20/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X1622571205UTY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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