Dr. JASON P RICHARDS MD
Individual Provider (NPI-1)
Active
Orthopaedic Surgery, Sports Medicine
Provider Information
- NPI Number
1902081813- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2240 E CENTER ST, POCATELLO, ID, 83201
- Phone
- (208) 233-8344
- Fax
- (208) 233-6983
Specialties & Taxonomies
Orthopaedic Surgery, Sports Medicine
Primary License: CA #a120201
All Addresses
MAILING
393 E WALNUT ST PHR GROUP PROVIDER ENROLLMENT UNIT, 3RD FL
PASADENA, CA, 911880001