Individual
MICHAEL D RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5056 N CENTRAL AVE, PHOENIX, AZ 85012-1521
(602) 222-9111
(602) 222-9333
Mailing address
5056 N CENTRAL AVE, PHOENIX, AZ 85012-1521
(602) 222-9111
(602) 222-9333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2041
AZ
Other
Enumeration date
06/13/2005
Last updated
10/17/2012
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