Individual
PAUL W RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
22705 164TH AVE, NEW UNDERWOOD, SD 57761-6102
(605) 754-6460
Mailing address
22705 164TH AVE, NEW UNDERWOOD, SD 57761-6102
(605) 754-6460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
074
SD
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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