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Individual

DR. MARK WORDEN RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 MONUMENT RD STE 290, YORK, PA 17403-5073
(717) 812-4090
(717) 812-4092
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M9611
TX
207X00000X
Orthopaedic Surgery Physician
Primary
MD045027L
PA
207XX0801X
Orthopaedic Trauma Physician
D0083697
MD
207XX0801X
Orthopaedic Trauma Physician
MD045027L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102308043
PA
01
1582870
GATEWAY-WMG
PA
01
20090718
AMERIHEALTH MERCY
PA
01
2105495
HIGHMARK BLUE SHIELD
PA
01
276293
UNISON HEALTH PLAN (WMG)
PA
01
951704
CAREFIRST MD BCBS
MD
Enumeration date
11/08/2006
Last updated
03/19/2025
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