Individual
RANDY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3430
(602) 406-2340
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
30093
AZ
2085R0202X
Diagnostic Radiology Physician
30093
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836546
—
AZ
Enumeration date
08/04/2006
Last updated
11/21/2024
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