Individual
ROBERT WILLIAM RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
654 S WALKER ST, BLOOMINGTON, IN 47403-2159
(812) 339-6456
(812) 339-6219
Mailing address
PO BOX 7075, BLOOMINGTON, IN 47407-7075
(812) 339-6456
(812) 339-6219
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01023980A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084952
ANTHEM
IN
05
—
100183380A
—
IN
Enumeration date
09/14/2005
Last updated
07/21/2022
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