Individual
DR. DONALD WINGFIELD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 W BRAMBLETON AVE, NORFOLK, VA 23510-1005
(757) 446-5908
(757) 446-7055
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5908
(757) 446-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101039755
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101039755
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101039755
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-033
TRICARE/CHAMPUS
VA
05
—
006013201
—
VA
01
—
055028
ANTHEM
VA
01
—
0663U
BC/BS
NC
01
—
15571
SENTARA OPTIMA
VA
01
—
223346
UHC/MAMSI
VA
05
—
890633U
—
NC
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
03/01/2006
Last updated
06/16/2015
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