Michael Dallin Richards

NPI #1255121638 in Maize, Kansas

Provider Information

NPI Number: 1255121638
Entity Type: Individual
Name: Michael Dallin Richards
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 8, 2025
Last Updated: May 8, 2025

Practice Location

Address: 10850 COPPER CREEK TRL APT 9103
City: Maize
State: Kansas
ZIP Code: 67101-9327
Phone: (435) 225-5827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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