Individual
DR. JUSTICE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1960 N OGDEN ST STE 400, DENVER, CO 80218-3670
(303) 318-1570
Mailing address
1960 N OGDEN ST STE 400, DENVER, CO 80218-3670
(303) 318-1570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A18689
CA
390200000X
Student in an Organized Health Care Education/Training Program
TL0006678
CO
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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