Individual
DR. TIM ALAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
(316) 636-5813
Mailing address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
(316) 636-5813
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-35760
KS
Other
Enumeration date
03/29/2007
Last updated
07/10/2012
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