Individual
JOHN CALEB RICHARDS
Active
Individual
JOHN CALEB RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034612
TX
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0053847
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09970321
—
CO
01
—
111257123
MEDICARE
KS
01
—
702397
MEDICARE
CO
01
—
702398
MEDICARE
CO
01
—
702399
MEDICARE
CO
01
—
702400
MEDICARE
CO
01
—
702401
MEDICARE
CO
01
—
KA3249114
MEDICARE
KS
01
—
NA1214136
MEDICARE
NE
01
—
NA1215137
MEDICARE
NE
01
—
NA2517113
MEDICARE
NE
Enumeration date
05/04/2009
Last updated
03/31/2024
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