Fred Richardson JR., M.D.

NPI #1194702092 in Effingham, Illinois

Provider Information

NPI Number: 1194702092
Entity Type: Individual
Name: Fred Richardson JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Dec 30, 2005
Last Updated: Apr 1, 2021

Practice Location

Address: 904 MEDICAL PARK DR
Address 2: SUITE 3
City: Effingham
State: Illinois
ZIP Code: 62401-2193
Phone: (217) 540-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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