Individual
DR. GEORGE WILLIAM RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-8330
(712) 542-3373
Mailing address
PO BOX 217, CLARINDA, IA 51632-2625
(712) 542-2176
(712) 542-8311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19509
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149526
—
IA
Enumeration date
05/26/2006
Last updated
01/26/2012
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