Individual
JASON RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4860 E BASELINE RD STE 105, MESA, AZ 85206-4670
(480) 485-8585
Mailing address
10115 E BELL RD STE 107, #178, SCOTTSDALE, AZ 85260-2189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46221
AZ
Other
Enumeration date
12/01/2007
Last updated
01/22/2023
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