Individual
DR. PETER BRUCE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COMMERCE RD, STAUNTON, VA 24401
(540) 213-0060
(540) 213-9441
Mailing address
17 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 213-7725
(540) 213-7481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032138
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006301754
—
VA
01
—
059755
BLUE CROSS BLUE SHIELD
VA
01
—
180020459
RAILROAD MEDICARE
—
Enumeration date
06/16/2005
Last updated
05/13/2010
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