Individual
DR. MELVIN J. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 VALLEY VIEW DR., SUITE 202, MOLINE, IL 61265-6180
(309) 762-1072
(309) 762-1094
Mailing address
615 VALLEY VIEW DR., SUITE 202, MOLINE, IL 61265-6180
(309) 762-1072
(309) 762-1094
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-045892
IL
2085R0202X
Diagnostic Radiology Physician
Primary
17497
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045892
—
IL
05
—
0576694
—
IA
05
—
1576694
—
IA
01
—
20144
IA HEALTH SOLUTIONS
IA
05
—
2576694
—
IA
05
—
3576694
—
IA
01
—
47823
WELLMARK
IA
05
—
4916924
—
IA
05
—
5916924
—
IA
05
—
7916924
—
IA
05
—
8916924
—
IA
01
—
95101
WELLMARK
IL
01
—
97671
WELLMARK
IL
05
—
9916924
—
IA
Enumeration date
07/22/2005
Last updated
07/16/2010
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