Individual
DONALD RAY RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E HIGH ST, STE B, CHARLOTTESVILLE, VA 22902-4848
(434) 296-0113
(434) 293-2367
Mailing address
1000 E HIGH ST, STE B, CHARLOTTESVILLE, VA 22902-4848
(434) 296-0113
(434) 293-2367
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101015999
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027339
ANTHEM
VA
Enumeration date
08/09/2005
Last updated
03/07/2023
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