Individual provider · Type 1 NPI

Samuel Stephen Richards, PA-C

Surgical Physician Assistant · Salt Lake City, UT

NPI number 1609382050 Active

Practice location

5848 S Fashion Blvd Ste 120
Salt Lake City, UT 84107-6157

Fax (801) 314-4919

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10622246-1206 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1609382050

Samuel Stephen Richards, PA-C's National Provider Identifier is 1609382050, issued on Dec 21, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 13, 2025.