Organization
ROBERTA M RICHARDSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA M RICHARDSON MD (OWNER)
(303) 233-1450
Entity
Organization
Contact information
Practice address
950 WADSWORTH BLVD, STE 308, LAKEWOOD, CO 80214-4591
(303) 233-1450
(303) 233-1119
Mailing address
950 WADSWORTH BLVD, STE 308, LAKEWOOD, CO 80214-4591
(303) 233-1450
(303) 233-1119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26423
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01264233
—
CO
Enumeration date
09/06/2012
Last updated
09/06/2012
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