Organization
RICHARDSON FAMILY HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ALAN RICHARDSON MD (OWNER/MEDICAL DIRECTOR)
(307) 382-8668
Entity
Organization
Contact information
Practice address
430 BROADWAY ST, ROCK SPRINGS, WY 82901-6269
(307) 382-8668
Mailing address
430 BROADWAY ST, ROCK SPRINGS, WY 82901-6269
(307) 382-8668
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4012A
WY
Other
Enumeration date
02/11/2008
Last updated
04/03/2008
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