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NPI Code Detail

MEDICARE: NATHAN ISAAC RICHARDS D.O.

MEDICARE: NATHAN ISAAC RICHARDS D.O.
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
1207X00000XOrthopaedic Surgery PhysicianDO2424NV

General Provider Information

NPI Number : 1215298617
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN ISAAC RICHARDS D.O.
Provider Business Mailing Address
First Line : 2020 PALOMINO LN STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4892
Country : US
Telephone Number : 702-474-7200
Fax Number : 702-474-7585
Provider Business Practice Location Address
First Line : 2020 PALOMINO LN STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4892
Country : US
Telephone Number : 702-474-7200
Fax Number : 702-474-7585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2012
Last Update Date : 11/22/2021

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Directions to “ NATHAN ISAAC RICHARDS D.O.” Practice Location

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