Provider Demographics
NPI:1497769368
Name:RICHENS, SHARON R (MD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:R
Last Name:RICHENS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:161 W 200 N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2728
Mailing Address - Country:US
Mailing Address - Phone:435-652-4040
Mailing Address - Fax:435-652-4041
Practice Address - Street 1:161 W 200 N
Practice Address - Street 2:SUITE 200
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2728
Practice Address - Country:US
Practice Address - Phone:435-652-4040
Practice Address - Fax:435-652-4041
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2020-06-22
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Provider Licenses
StateLicense IDTaxonomies
UT48264031205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT006901927Medicare PIN