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Individual

JOYCE LYNN RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
294 W STATE ROUTE 89A, SUITE 213, COTTONWOOD, AZ 86326-3754
(928) 649-7913
(928) 649-7914
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2091
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
321612
AZ
Enumeration date
10/19/2006
Last updated
12/09/2015
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