JASON P RICHARDS

POCATELLO, ID
NPI1902081813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: CA  a120201)
Enumeration Date2008-01-09
Last Update Date2021-12-06
Business Address
Dr. JASON P RICHARDS MD
2240 E CENTER ST
POCATELLO, ID 83201
Phone number: 208-233-8344
Mailing Address
Dr. JASON P RICHARDS MD
393 E WALNUT ST PHR GROUP PROVIDER ENROLLMENT UNIT, 3RD FL
PASADENA, CA 91188-0001
Phone number: 626-405-7914
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