Provider Demographics
NPI:1982692182
Name:CALL, RICHARD A II (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:CALL
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771W 450 S
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-2222
Mailing Address - Country:US
Mailing Address - Phone:801-226-0737
Mailing Address - Fax:801-226-0737
Practice Address - Street 1:3651 NO 100 E
Practice Address - Street 2:STE #150
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604
Practice Address - Country:US
Practice Address - Phone:801-226-0737
Practice Address - Fax:801-226-0832
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT162202207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D26503Medicare UPIN
UT000001609Medicare ID - Type Unspecified