Individual
MS. CRYSTAL LEE RICHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13301 N MERIDIAN AVE, BLDG. 400, OKLAHOMA CITY, OK 73120-9369
(405) 755-4600
(405) 755-4837
Mailing address
13301 N MERIDIAN AVE, BLDG. 400, OKLAHOMA CITY, OK 73120-9369
(405) 755-4600
(405) 755-4837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1140
OK
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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