IndividualActive
Richard Rosenthal, M.D.
NPI 1073512745 · Pain Medicine Physician · Provo, UT
Provider details
- NPI number
- 1073512745
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 180329-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3585 N University Ave Ste 150
Provo, UT 84604-6630
Phone: (801) 356-6100
Fax: (801) 356-2113
Approximate (ZIP-level) locationGet directions
Mailing address
3585 N University Ave Ste 150
Provo, UT 84604-6630
Registry dates
- Enumerated
- 2005-07-15
- Last updated
- 2011-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.