Michael Shane Richardson, P.A.
NPI #1225179849 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1225179849
- Entity Type
- Individual
- Name
- Michael Shane Richardson, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Mar 21, 2022
Practice Location
- Address
- 7521 SE 15TH ST
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-5425
- Phone
- (405) 453-8004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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