Individual
DR. JOHN B RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2871 ACTON ROAD, SUITE 100, BIRMINGHAM, AL 35243-2560
(205) 939-0023
(205) 939-4180
Mailing address
2871 ACTON ROAD, SUITE 100, BIRMINGHAM, AL 35243-2560
(205) 939-0023
(205) 939-4180
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
10976
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932891
—
AL
05
—
009960330
—
AL
05
—
009978840
—
AL
01
—
051502732
BLUE CROSS - 2660 10TH AV
AL
01
—
051506241
BLUE CROSS - 48 MED PARK
AL
01
—
051514814
BLUE CROSS - 860 MONT RD
AL
Enumeration date
06/06/2006
Last updated
06/26/2023
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