Organization
JOHANNA M RICHEY, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA MARIE RICHEY DPM (OWNER)
(602) 432-1274
Entity
Organization
Contact information
Practice address
2741 S 8TH AVE STE A, YUMA, AZ 85364-7154
(928) 726-6295
Mailing address
2091 W 25TH ST, YUMA, AZ 85364-6911
(928) 276-6271
(928) 276-4730
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
883
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425358
—
AZ
Enumeration date
07/28/2018
Last updated
04/16/2019
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