Individual
JAMES RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 ACADEMY ST, BISHOP, CA 93514-2603
(760) 973-3331
Mailing address
307 ACADEMY ST, BISHOP, CA 93514-2603
(760) 973-3331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G040403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G00404030
—
CA
Enumeration date
09/20/2006
Last updated
02/13/2013
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