# RICHARDSON FAMILY HEALTH CENTER, P.C.

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

## Provider details

- **NPI number:** 1760650980
- **Authorized official:** CHARLES ALAN RICHARDSON MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (307) 382-8668

## Contact information

- **Practice address:** 430 BROADWAY ST, ROCK SPRINGS, WY 82901-6269
- **Practice address phone:** (307) 382-8668
- **Mailing address:** 430 BROADWAY ST, ROCK SPRINGS, WY 82901-6269
- **Mailing address phone:** (307) 382-8668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 4012A | WY | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 04/03/2008