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Organization
RICHARDSON FAMILY MEDICINE PROF LLC
Active
Organization
RICHARDSON FAMILY MEDICINE PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RICHARDSON MD (PRESIDENT)
(605) 275-8800
Entity
Organization
Contact information
Practice address
625 W 18TH ST, SIOUX FALLS, SD 57105
(605) 275-8800
(605) 338-7890
Mailing address
625 W 18TH ST, SIOUX FALLS, SD 57105
(605) 275-8800
(605) 338-7890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3456
SD
Other
Enumeration date
12/04/2007
Last updated
03/30/2011
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