Individual
TODD A. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 E VIRGINIA AVE, 100, PHOENIX, AZ 85004-1214
(602) 258-4788
(602) 258-5131
Mailing address
PO BOX 7587, PHOENIX, AZ 85011-7587
(602) 258-4788
(602) 258-5131
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
47711
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
47711
AZ
208M00000X
Hospitalist Physician
A90343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810077
—
AZ
Enumeration date
11/01/2006
Last updated
01/07/2015
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