Individual
BRENT RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 569-7500
Mailing address
653 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20505
NH
208600000X
Surgery Physician
TRN21762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123567
—
NH
Enumeration date
04/02/2015
Last updated
09/18/2025
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