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Individual

AMY C RICHARDSON

Active
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Individual

AMY C RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-061869
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028336
ANTHEM
OH
01
000000221423
UNISON
OH
01
000000526092
ANTHEM
OH
05
0842011
OH
01
363954
WELLCARE
OH
01
370001953
RAILROAD MEDICARE
OH
01
648156
AETNA
OH
01
734679
BUCKEYE
OH
01
842011
BCMH
OH
Enumeration date
07/16/2006
Last updated
05/22/2008
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