Individual
DR. CAMILLE YVONNE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
923 LEXINGTON AVE, FORT SMITH, AR 72901-4943
(479) 709-7350
(479) 709-7355
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 812-7207
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
296570
NY
208600000X
Surgery Physician
Primary
E-12542
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05385355
—
NY
05
—
236803001
—
AR
Enumeration date
05/06/2013
Last updated
01/30/2023
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