Richardson Surgical LLC

NPI #1922298058 in Washington, Missouri

Provider Information

NPI Number: 1922298058
Entity Type: Organization
Organization Name: Richardson Surgical LLC
Primary Specialty: Specialist
Enumeration Date: Jul 25, 2007
Last Updated: Nov 7, 2007

Practice Location

Address: 851 E 5TH ST
Address 2: SUITE 120
City: Washington
State: Missouri
ZIP Code: 63090-3135
Phone: (636) 390-8015

Authorized Official

Name: PATRICIA ANN BLANKENSHIP
Title: OFFICE MANAGER
Phone: (636) 390-8015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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