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Individual

TIMOTHY RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
36867 COOK ST, SUITE 101, PALM DESERT, CA 92211-6064
(760) 341-1999
(760) 341-1997
Mailing address
PO BOX 1486, RANCHO MIRAGE, CA 92270-1049
(760) 341-1999
(760) 341-1997

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G53073
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G53073
CA
207NS0135X
Procedural Dermatology Physician
G53073
CA

Other

Enumeration date
07/27/2006
Last updated
02/15/2022
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