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General NPI Number Information
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NPI Number | 1457671463
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Entity Type | Organization
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Legal Business Name | WILLIAM F RICHARDS MD PLC
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 7200 S HAZEL ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7836
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Country | US
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Telephone | 870-575-0695
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Fax | 870-535-2801
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Provider Business Mailing Address
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Address Line | 15668 COLLECTION CENTER DR
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City | CHICAGO
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State | IL
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Zip | 60693-0156
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Country | US
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Telephone | 256-383-3325
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Fax | 256-383-5911
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Authorized Official
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Title or Position | VP FINANCE
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Name | M CRAIG WEEKS
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Credential |
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Telephone | 256-383-3325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | E-2774
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License Number State | AR
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