Individual
BRANT L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110-1416
(805) 681-1761
(805) 681-1768
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1761
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17284
CA
363AM0700X
Medical Physician Assistant
PA17284
CA
Other
Enumeration date
09/16/2006
Last updated
08/12/2022
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