Trent T Richardson M.D.

NPI 1013916261 - Internal Medicine - 207R00000X

NPI Details
NPI 1013916261
Gender Male
Enumeration Date 07/19/2005
Last Updated 12/27/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
2720 N TENAYA WAY
DOHM
LAS VEGAS NV, 89128-0424, US
Phone (702) 877-8600
Fax (702) 242-7944
Business Location
PO BOX 15645
LAS VEGAS NV, 89114-5645, US
Phone (702) 560-2879
Fax (702) 838-1456
Toxanomy
Taxonomy Code 207R00000X
License State Louisiana
License Number 14142R
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According to our database, Dr. Trent T Richardson M.D. NPI is 1013916261, taxonomy code is 207R00000X and license number is 14142R, license state is located at Louisiana. Trent T Richardson M.D. physically located at 2720 N Tenaya Way, Las Vegas NV, 89128-0424. NPI Number Trent T Richardson M.D. has the Individual type.

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1013916261 NPI number is provided on an as is basis without warranty of any kind. 1013916261 is maintained by the National Plan & Provider Enumeration System. The contents of Trent T Richardson M.D. are for informational purposes only.