Individual
MR. DAVID PAUL RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2924 SISKIYOU BLVD STE 200, MEDFORD, OR 97504-6462
(541) 200-2777
(541) 214-2575
Mailing address
2924 SISKIYOU BLVD STE 200, MEDFORD, OR 97504-6462
(541) 200-2777
(541) 214-2575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA202759
OR
363A00000X
Physician Assistant
PA60606167
WA
Other
Enumeration date
10/30/2015
Last updated
10/13/2022
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