Individual
DR. TANISHA RENEE RICHMOND, DPM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1323 W 3RD ST, DAYTON, OH 45402-6714
(937) 228-3668
(937) 228-3660
Mailing address
1323 W 3RD ST, DAYTON, OH 45402-6714
(937) 228-3668
(937) 228-3660
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-003457
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000558908
ANTHEM
OH
05
—
2796292
—
OH
Enumeration date
10/18/2006
Last updated
04/12/2011
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