Individual
ERIK JON RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2790 GODWIN BLVD STE 101, SUFFOLK, VA 23434-8151
(757) 539-0670
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 213-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008768
VA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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