Individual
MR. TIMOTHY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10535 PARK MEADOWS BLVD STE 102, LONE TREE, CO 80124-8456
(303) 695-6106
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 471-5783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60779457
WA
363AM0700X
Medical Physician Assistant
Primary
PA0007294
CO
Other
Enumeration date
07/14/2017
Last updated
06/23/2025
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