| Roberta M Richardson Md Llc | |
|
950 Wadsworth Blvd Ste 308 Lakewood CO 80214-4591 | |
| (303) 233-1450 | |
| (303) 233-1119 |
| Full Name | Roberta M Richardson Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 950 Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Roberta M Richardson (OWNER) |
| Authorized Official Contact | 3032331450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta M Richardson Md Llc 950 Wadsworth Blvd Ste 308 Lakewood CO 80214-4591 Ph: (303) 233-1450 | Roberta M Richardson Md Llc 950 Wadsworth Blvd Ste 308 Lakewood CO 80214-4591 Ph: (303) 233-1450 |
| NPI Number | 1578812335 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578812335 | NPI | - | NPPES |
| 01264233 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26423 (Colorado) | Primary |
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