Individual
ROSELAVENDER A RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3420 EAST SHEA BLVD, STE 200 OFFICE 266, PHOENIX, AZ 85028
(480) 977-6000
(248) 269-0631
Mailing address
3420 E SHEA BLVD STE 200266, PHOENIX, AZ 85028-3345
(480) 977-6000
(248) 269-0631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318205
—
AZ
01
—
AZ0702650
BC BS OF AZ
AZ
Enumeration date
12/27/2005
Last updated
03/12/2019
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