Individual
DR. BLAKE MARTIN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8555 16TH ST, SUITE 602, SILVER SPRING, MD 20910-2816
(240) 863-3526
(240) 863-3680
Mailing address
9601 PULASKI PARK DR, SUITE 416, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01745
MD
Other
Enumeration date
02/05/2007
Last updated
06/16/2015
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