Terryl J Richardson (NPI# 1740297597, PAC ID# 3173788338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1740297597 |
PAC ID by PECOS | 3173788338 |
Professional Enrollment ID | I20120713000338 |
Full Name | Terryl J Richardson |
Address |
5216 72nd St E Tacoma WA 98443-2722 |
Phone Number | 2535378181 |
Gender | M |
Graduation Year | 1979 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5216 72nd St E, Tacoma, WA 98443-2722 | 2535378181 |
Street Address |
5216 72ND ST E |
City | TACOMA |
State | WA |
Zip | 98443-2722 |
City | TACOMA |
Zip Code | 98443 |
Specialty | CHIROPRACTIC |
City + Specialty | TACOMA + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.