Individual
LINDA MARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7950 W JEFFERSON BLVD, SUITE 2121, FORT WAYNE, IN 46804-4140
(260) 407-8000
(260) 407-8004
Mailing address
7950 W JEFFERSON BLVD, SUITE 2121, FORT WAYNE, IN 46804-4140
(260) 407-8000
(260) 407-8004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000314
IN
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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