Individual
DR. SHOSHONE ALLEINA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12342
ND
207P00000X
Emergency Medicine Physician
35084908
OH
207P00000X
Emergency Medicine Physician
38293
IA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
12342
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2603589
—
OH
Enumeration date
08/17/2006
Last updated
12/26/2015
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