Individual
MICHAEL RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-1026
(573) 884-8876
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2003010753
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208428607
—
MO
01
—
P00037698
RR MEDICARE
MO
01
—
P00415741
RAILROAD MEDICARE
MO
Enumeration date
06/01/2006
Last updated
04/25/2012
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