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Contact Information

RICHARD L GLINES, MD
1250 E 3900 S
#30
SALT LAKE CITY, UT84124
 Phone: 801-268-7725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for RICHARD L GLINES · (Male)

NPI Number 1790794063
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 08/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 7596444-1205
  • UT Medicaid 1790794063
Hospital affiliation(s)
  • DAVIS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    1600 WEST ANTELOPE DRIVE
    LAYTON, UT 84041
  • ST MARKS HOSPITAL - (Acute Care)
    1200 EAST 3900 SOUTH
    SALT LAKE CITY, UT 84124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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