BENJAMIN RUSSELL RICHARDSON

SHOW LOW, AZ
NPI1215222013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: AZ  006656)
Enumeration Date2011-06-09
Last Update Date2017-03-08
Business Address
DR. BENJAMIN RUSSELL RICHARDSON D.O.
5171 CUB LAKE RD STE B210
SHOW LOW, AZ 85901-7866
Phone number: 928-537-0635
Mailing Address
DR. BENJAMIN RUSSELL RICHARDSON D.O.
5171 CUB LAKE RD STE 210
SHOW LOW, AZ 85901-7888
Phone number: 928-537-0635
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