Individual
AMBER LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
30 E APPLE ST STE NW3300, DAYTON, OH 45409-2939
(937) 208-8394
Mailing address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.011626
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182053
—
OH
Enumeration date
06/12/2013
Last updated
05/24/2021
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