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Individual

JAMES WILLIAM RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.C.

Contact information

Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
(605) 720-7236
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
(605) 720-7236

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0508
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0041154
WELLMARK BCBS PIN
SD
05
6824452
SD
Enumeration date
03/25/2006
Last updated
03/18/2024
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