Individual
CLIF S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8160 YMCA PLAZA DR, SUITE C, BATON ROUGE, LA 70810-0916
(225) 763-7770
Mailing address
8160 YMCA PLAZA DR, SUITE C, BATON ROUGE, LA 70810-0916
(225) 763-7770
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PD317R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369691
—
LA
Enumeration date
11/02/2005
Last updated
10/03/2011
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