Individual
STEPHEN R RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4030 EASTON STA, SUITE 200, COLUMBUS, OH 43219-7011
(614) 759-6626
(614) 759-8403
Mailing address
4030 EASTON STA, SUITE 200, COLUMBUS, OH 43219-7011
(614) 759-6626
(614) 759-8403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35043995
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426355
—
OH
01
—
RI0503715
MEDICARE
OH
Enumeration date
07/20/2006
Last updated
01/05/2022
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