Individual
JOSEPH RICHARDVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 E STOP 11 RD STE 310, INDIANAPOLIS, IN 46237-6341
(317) 781-1133
(317) 528-7099
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01080788A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01080788A
IN
Other
Enumeration date
04/07/2016
Last updated
09/05/2023
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