Individual
DR. RICHARD B SOUTHWELL
Active
Individual
DR. RICHARD B SOUTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3077A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100342900
—
WY
01
—
200009950
RAILROAD MEDICARE
—
01
—
305410
BCBS
—
Enumeration date
01/18/2006
Last updated
06/12/2009
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