Individual
GREGORY L RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 CHESTNUT ST, MEADVILLE, PA 16335-4403
(814) 336-6308
(814) 337-6067
Mailing address
462 CHESTNUT ST, MEADVILLE, PA 16335-4403
(814) 336-6308
(814) 337-6067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD048730L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013906350005
—
PA
01
—
177964
VALUE OPTIONS
PA
01
—
205036
UPMC
PA
01
—
260047417
MEDICARE RAILROAD
PA
Enumeration date
07/19/2006
Last updated
05/02/2008
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