Individual
MRS. KERI LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10930 N TATUM BLVD, STE 103, PHOENIX, AZ 85028-6069
(602) 263-7600
(602) 212-0365
Mailing address
10930 N TATUM BLVD, STE 103, PHOENIX, AZ 85028-6069
(602) 263-7600
(602) 212-0365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2908
AZ
Other
Enumeration date
09/07/2005
Last updated
09/28/2007
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