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Individual

TORY RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8424 E SHEA BLVD, 101, SCOTTSDALE, AZ 85260-6662
(480) 256-1520
(480) 478-6628
Mailing address
308 W 8TH ST APT 702, KANSAS CITY, MO 64105-1576
(816) 787-6831

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009027351
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
107773
AZ

Other

Enumeration date
08/27/2016
Last updated
12/29/2016
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