Individual
GREGORY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
(559) 459-5097
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01081935A
IN
207P00000X
Emergency Medicine Physician
Primary
036138855
IL
207P00000X
Emergency Medicine Physician
A141730
CA
Other
Enumeration date
06/19/2013
Last updated
03/27/2019
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