Jason Richardson

NPI #1255513206 in Mesa, Arizona

Provider Information

NPI Number: 1255513206
Entity Type: Individual
Name: Jason Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: Dec 1, 2007
Last Updated: Jan 22, 2023

Practice Location

Address: 4860 E BASELINE RD STE 105
City: Mesa
State: Arizona
ZIP Code: 85206-4670
Phone: (480) 485-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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