Individual
MR. RICHARD VIDAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2802
(540) 731-2230
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184195
VA
367500000X
Certified Registered Nurse Anesthetist
3119372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302071101
—
FL
Enumeration date
03/23/2006
Last updated
10/21/2022
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