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JOSHUA TOMAS RICHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4880 CENTURY PLAZA RD STE 250, INDIANAPOLIS, IN 46254-5471
(317) 216-2500
(317) 688-5695
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01056038A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068010846
MEDICARE PTAN
IN
05
200375100
IN
Enumeration date
10/04/2006
Last updated
01/15/2024
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