Individual
WILFORD LEE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
Mailing address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11014423A
IN
207X00000X
Orthopaedic Surgery Physician
48932
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
48932
AZ
Other
Enumeration date
06/11/2008
Last updated
08/05/2014
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