Individual
PAULA C RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3145 E CHANDLER BLVD, SUITE 110-207, PHOENIX, AZ 85048-8702
(602) 615-9082
(480) 634-4415
Mailing address
3145 E CHANDLER BLVD, SUITE 110-207, PHOENIX, AZ 85048-8702
(602) 615-9082
(480) 634-4415
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2436
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z3845
AZ HEALTHNET
AZ
01
—
AZ0423330
BCBS AZ
AZ
Enumeration date
07/05/2006
Last updated
01/15/2010
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