Individual
DR. BRUCE C RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8440 W THUNDERBIRD RD, PEORIA, AZ 85381-4803
(623) 773-2000
Mailing address
#272 3655 W ANTHEM WAY A109, ANTHEM, AZ 85086-0430
(623) 773-2000
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
5071
AZ
111NR0400X
Rehabilitation Chiropractor
Primary
5071
AZ
Other
Enumeration date
04/11/2007
Last updated
10/07/2016
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