Individual
TROY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
216 ANAMARIA DR, RAPID CITY, SD 57701-7366
(605) 342-6954
Mailing address
11300 CROOKED CANYON RD, BLACK HAWK, SD 57718-8903
(605) 342-6954
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R024527
SD
Other
Enumeration date
08/23/2006
Last updated
09/06/2013
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