Individual
MICHAEL DALLIN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 S WASHINGTON ST STE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074
Mailing address
419 S WASHINGTON ST STE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1407
STATE
WY
Enumeration date
05/08/2025
Last updated
03/17/2026
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