WELDON T RICHARDSON

IDAHO FALLS, ID
NPI1629351614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2011-09-26
Last Update Date2011-09-26
Business Address
Mr. WELDON T RICHARDSON PA-C
1341 E 17TH ST
IDAHO FALLS, ID 83404-6235
Phone number: 208-523-7246
Mailing Address
Mr. WELDON T RICHARDSON PA-C
1341 E 17TH ST
IDAHO FALLS, ID 83404-6235
Phone number: 208-523-7246