Individual
JONATHAN DAVID RICHEY
Active
Individual
JONATHAN DAVID RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MHA
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5101017631
MI
207N00000X
Dermatology Physician
Primary
P2352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305417301
—
TX
01
—
P01149339
MEDICARE RAILROAD
TX
Enumeration date
06/03/2008
Last updated
03/24/2025
Update your record
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