Organization
RICHARDSON ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY EMMANUEL RICHARDSON DO (PRESIDENT)
(870) 615-2091
Entity
Organization
Contact information
Practice address
320 COUNTY ROAD 794, JONESBORO, AR 72405-7087
(870) 615-2091
Mailing address
320 COUNTY ROAD 794, JONESBORO, AR 72405-7087
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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