Individual
DR. DONNA THERESE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
404 KEENE ST, COLUMBIA, MO 65201-6626
(573) 875-9000
(573) 875-9947
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
105800
MO
208600000X
Surgery Physician
Primary
105800
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002014693
MEDICARE PIN AREA 01
MO
Enumeration date
12/30/2005
Last updated
04/25/2011
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