Individual
ALEXANDER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3116 W US HIGHWAY 22 AND 3, STE E, MAINEVILLE, OH 45039-8609
(513) 683-2060
Mailing address
3116 W US HIGHWAY 22 AND 3, STE E, MAINEVILLE, OH 45039-8609
(513) 683-2060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159695
—
OH
01
—
480029911
RAILROAD MEDICARE
OH
Enumeration date
05/27/2005
Last updated
11/22/2016
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