Organization
RICHARDSON SURGICAL LLC
Active
Organization
RICHARDSON SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN BLANKENSHIP (OFFICE MANAGER)
(636) 390-8015
Entity
Organization
Contact information
Practice address
851 E 5TH ST, SUITE 120, WASHINGTON, MO 63090-3135
(636) 390-8015
(636) 390-8920
Mailing address
851 E 5TH ST, SUITE 120, WASHINGTON, MO 63090-3135
(636) 390-8015
(636) 390-8920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
105672
MO
174400000X
Specialist
105800
MO
Other
Enumeration date
07/25/2007
Last updated
11/07/2007
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