Individual
DR. BETHANY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
(505) 982-8440
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
(505) 982-8440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
123298
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1670713
—
AK
Enumeration date
05/11/2017
Last updated
09/03/2020
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