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NPI Code Detail

MEDICARE: DR. DAVID RICHARDS MD

MEDICARE: DR. DAVID 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
1207R00000XInternal Medicine Physician2010010506MO

General Provider Information

NPI Number : 1255536215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID RICHARDS MD
Provider Business Mailing Address
First Line : 1717 BIDDLE ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63106-3454
Country : US
Telephone Number : 314-814-8585
Fax Number :
Provider Business Practice Location Address
First Line : 1120 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4767
Country : US
Telephone Number : 847-342-1554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 07/22/2021

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