Organization
AZ RICHARDSON SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERI L RICHARDSON PA-C (MEMBER)
(480) 586-0554
Entity
Organization
Contact information
Practice address
1776 N SCOTTSDALE RD UNIT 368, SCOTTSDALE, AZ 85252-3616
(480) 201-5264
(480) 393-1970
Mailing address
PO BOX 368, SCOTTSDALE, AZ 85252-0368
(480) 201-5264
(480) 393-1970
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2908
AZ
Other
Enumeration date
10/22/2012
Last updated
03/07/2024
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