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1184725764

NPI Code Detail

MEDICARE: DR. DANELLE M RICHARDS MD

MEDICARE: DR. DANELLE M RICHARDS MD

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
1	207P00000X	Emergency Medicine Physician	103509	MO
2	207P00000X	Emergency Medicine Physician	ME151874	FL
3	207P00000X	Emergency Medicine Physician	41658	OK
4	207P00000X	Emergency Medicine Physician	58472	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	81323	OTHER	AR	BLUE CROSS ARKANSAS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184725764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANELLE M RICHARDS MD

Provider Business Mailing Address
First Line	:	709 N CZECH HALL RD
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-7897
Country	:	US
Telephone Number	:	405-494-8600
Fax Number	:	405-494-8567

Provider Business Practice Location Address
First Line	:	709 N CZECH HALL RD
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-7897
Country	:	US
Telephone Number	:	405-494-8600
Fax Number	:	405-494-8567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	03/02/2026

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Directions to “ DR. DANELLE M RICHARDS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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