Individual
REVA A RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING, SUITE 301, ST THOMAS, VI 00802-2687
(340) 776-8112
(340) 776-8113
Mailing address
PO BOX 307266, ST THOMAS, VI 00803-7266
(340) 776-8112
(340) 776-8113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1278
VI
208000000X
Pediatrics Physician
1278
VI
Other
Enumeration date
08/03/2006
Last updated
04/20/2015
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