Individual
MR. RICHARD A STANDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2175 N ALMA SCHOOL RD, STE B-103, CHANDLER, AZ 85224-2878
(480) 963-9339
(480) 963-4098
Mailing address
690 N COFCO CENTER CT, STE 260, PHOENIX, AZ 85008-6462
(602) 279-6905
(888) 445-4263
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
5254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511958
—
AZ
01
—
Z113264
MEDICARE GROUP
AZ
Enumeration date
10/18/2005
Last updated
02/26/2009
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