Individual
ANDREW RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000
Mailing address
400 S WOODS MILL RD STE 140, CHESTERFIELD, MO 63017-3427
(314) 485-1101
(314) 485-1104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2020015034
MO
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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