Individual
PHILLIP OLIVER RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45546 APPIAN WAY, INDIAN WELLS, CA 92210-6150
(760) 345-8904
(760) 345-8510
Mailing address
45546 APPIAN WAY, INDIAN WELLS, CA 92210-6150
(760) 345-8904
(760) 345-8510
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
4301029346
MI
Other
Enumeration date
11/21/2009
Last updated
11/21/2009
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