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Individual

ADAM THOMAS RICHINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
132 MAIN ST N, KIMBERLY, ID 83341
(208) 735-3938
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227698
OR
Enumeration date
02/09/2012
Last updated
04/07/2021
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