Individual
DR. FRASER RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6567 E CARONDELET DR, STE 225, TUCSON, AZ 85710-6152
(520) 886-3432
(520) 886-0169
Mailing address
2202 N FORBES BLVD, TUCSON, AZ 85745-1412
(520) 886-3432
(520) 886-0169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
37745
AZ
207RC0000X
Cardiovascular Disease Physician
37745
AZ
207RI0011X
Interventional Cardiology Physician
Primary
37745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286043
—
AZ
01
—
37745
STATE LICENSE
AZ
01
—
N8395
STATE LICENSE
AR
01
—
P00958349
RR MEDICARE
AZ
Enumeration date
06/16/2005
Last updated
03/07/2023
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