Individual
DR. WARREN STEVEN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12801
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC GROUP NPI NUMBER
OR
05
—
227108
—
OR
01
—
CD8723
RR MEDICARE GROUP NUMBER
OR
01
—
P00080924
RR MEDICARE NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
12/09/2005
Last updated
10/23/2008
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