Individual
RYAN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 MEMORIAL DR, SUITE 2, EVERETT, PA 15537-7057
(814) 623-0552
Mailing address
202 MEMORIAL DR, SUITE 2, EVERETT, PA 15537-7057
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
OA002177
PA
Other
Enumeration date
09/11/2006
Last updated
03/25/2021
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