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NPI Code Detail

MEDICARE: JOHANNA-MARIE RICHEY DPM

MEDICARE: JOHANNA-MARIE RICHEY DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist883AZ
2213E00000XPodiatrist883AZ

General Provider Information

NPI Number : 1043579162
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA-MARIE RICHEY DPM
Provider Business Mailing Address
First Line : 19389 N 59TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6500
Country : US
Telephone Number : 623-537-6000
Fax Number : 623-537-6014
Provider Business Practice Location Address
First Line : 19389 N 59TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6500
Country : US
Telephone Number : 623-537-6000
Fax Number : 623-537-6014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2012
Last Update Date : 06/22/2026

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Directions to “ JOHANNA-MARIE RICHEY DPM” Practice Location

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