Individual
DR. EDWARD WADE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2151 N MAIN ST, LAS CRUCES, NM 88001-1128
(505) 524-0400
(505) 524-0595
Mailing address
2151 N MAIN ST, LAS CRUCES, NM 88001-1128
(505) 524-0400
(505) 524-0595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
962
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K7094
—
NM
Enumeration date
09/21/2006
Last updated
01/18/2013
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