Individual
GEORGE B RICHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 356-1616
(319) 384-7199
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 356-1616
(319) 384-7199
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
030866
CT
2084N0400X
Neurology Physician
Primary
39101
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001308669
—
CT
Enumeration date
11/17/2005
Last updated
08/25/2010
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