Individual
TRISHA I. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1212 BROADWAY, HIGHLAND, IL 62249
(618) 654-9851
(618) 654-1339
Mailing address
PO BOX 181, 1212 BROADWAY, HIGHLAND, IL 62249
(618) 654-9851
(618) 654-1339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-003286
IL
Other
Enumeration date
11/13/2008
Last updated
04/17/2013
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