Individual
MR. SCOTT DENNIS RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 RADIO HILL ROAD, MEL LEAMAN FREE CLINIC AT EMORY & HENRY COLLEGE, MARION, VA 24354
(276) 781-2090
(207) 330-3955
Mailing address
601 RADIO HILL ROAD, MEL LEAMAN FREE CLINIC AT EMORY & HENRY COLLEGE, MARION, VA 24354
(276) 781-2090
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-138
ME
363AM0700X
Medical Physician Assistant
Primary
0110004884
VA
363AM0700X
Medical Physician Assistant
PAN686
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336160099
—
ME
Enumeration date
01/08/2007
Last updated
01/11/2018
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