Organization
ROSELAVENDER A. RICHARDS, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELAVENDAR A. RICHARDS M.D. (OWNER/PRESIDENT)
(602) 258-6997
Entity
Organization
Contact information
Practice address
515 W BUCKEYE RD STE 106, PHOENIX, AZ 85003-2648
(602) 258-6997
(602) 257-4638
Mailing address
1201 W GOLDFINCH WAY, CHANDLER, AZ 85248-3144
(480) 786-0899
(480) 963-1752
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
23096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318205
—
AZ
Enumeration date
09/14/2006
Last updated
08/22/2020
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