Individual
HEIDI H RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
910 W 5TH AVE, SUITE 700, SPOKANE, WA 99204-2966
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
37335
IA
208600000X
Surgery Physician
Primary
MD60027943
WA
208600000X
Surgery Physician
R6805
IA
2086X0206X
Surgical Oncology Physician
37335
IA
2086X0206X
Surgical Oncology Physician
MD60027943
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70042
WELLMARK BCBS
IA
Enumeration date
05/22/2007
Last updated
09/04/2008
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