# JOHANNA M RICHEY, DPM, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609354034
- **Authorized official:** JOHANNA MARIE RICHEY DPM (OWNER)
- **Authorized official phone:** (602) 432-1274

## Contact information

- **Practice address:** 2741 S 8TH AVE STE A, YUMA, AZ 85364-7154
- **Practice address phone:** (928) 726-6295
- **Mailing address:** 2091 W 25TH ST, YUMA, AZ 85364-6911
- **Mailing address phone:** (928) 276-6271
- **Mailing address fax:** (928) 276-4730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 883 | AZ | Yes |

## Other

- **Enumeration date:** 07/28/2018
- **Last updated:** 04/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 425358 | — | AZ |