Individual
DR. MICHAEL B RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
5334 S WOODROW ST, STE 100, MURRAY, UT 84107-5838
(801) 284-1702
(801) 266-7116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4742939-1205
UT
2085R0202X
Diagnostic Radiology Physician
48177
AZ
2085R0202X
Diagnostic Radiology Physician
MD157958
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2007
Last updated
09/12/2019
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