IndividualActive
Tyler Richards, MD
NPI 1790104552 · Neuroradiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1790104552
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 11261638-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 1a071
Salt Lake City, UT 84132-2140
Phone: (801) 581-7553
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 1a071
Salt Lake City, UT 84132-2140
Additional practice locations (1)
- 11100 Euclid AvenueCleveland, OH 44106-5056Phone: (614) 288-9248
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2021-11-15
- Certified
- 2021-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.