Individual
DR. CARISSA M RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
980 W IRONWOOD DR #101, COEUR D'ALENE, ID 83814
(208) 765-1455
(208) 667-2556
Mailing address
980 W IRONWOOD DR #101, COEUR D'ALENE, ID 83814
(208) 765-1455
(208) 667-2556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-13322
ID
Other
Enumeration date
03/25/2010
Last updated
04/14/2025
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