Richardson, Nathan Davis

Richardson, Nathan Davis is an individual health care provider with primary practice located at 3420 S Mercy Rd Suite 200, Gilbert AZ 85297-0419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Richardson, Nathan Davis can be contacted via phone (623) 537-5600.

Contact Information

Primary practice address
3420 S Mercy Rd Suite 200 Gilbert AZ 85297-0419
Phone: (623) 537-5600
Fax: (866) 939-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 42715 Arizona
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 42715 Arizona

Profile Details

NPI number 1790847978
LBN Legal business name Richardson, Nathan Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated May 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790847978 NPPES
Arizona Other 5550830001 MEDICARE NSC SCW
Arizona Other 5550830007 MEDICARE NSC SCW
Arizona Other 5550830011 MEDICARE NSC SCW
Arizona Other 5550830012 MEDICARE NSC SCW
Arizona Other 5550830003 MEDICARE NSC SCW
Arizona MEDICAID 521790 MEDICARE NSC SCW
Arizona Other 5550830010 MEDICARE NSC SCW

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