Individual
SEAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
655 5TH ST, FORT GREELY, AK 99731
(907) 873-4975
Mailing address
PO BOX 31326, FORT GREELY, AK 99731-1326
(907) 873-4865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1318
NE
Other
Enumeration date
07/27/2011
Last updated
11/22/2016
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