Individual
DR. GREGORY B RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD, F.A.C.S.
Contact information
Practice address
1100 10TH ST, ALAMOGORDO, NM 88310-6414
(505) 437-2244
(505) 437-8000
Mailing address
1100 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 437-2244
(575) 437-8000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
76251
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017137
—
NM
Enumeration date
06/30/2005
Last updated
11/30/2017
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