Whalio Doctors

NPI 1073512745

Richard M Rosenthal, MD

Practitioner Pain Medicine Physician Provo, UT

Practice location

Address
3585 N University Ave STE 150, Provo, UT 84604-6630
Phone
(801) 356-6100
Fax
(801) 356-2113

Registered specialties

Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 180329-1205 (UT)

Registry record

NPI
1073512745
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jul 2005
Record last updated
6 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.