Individual
DR. DAMIAN SETH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
493 S. MAIN STREET, CREEDE, CO 81130
(719) 658-0526
Mailing address
PO BOX 123, CREEDE, CO 81130-0123
(719) 658-3079
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
5177
CO
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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