Provider / Organization | NPI | Date Certified |
---|---|---|
CHRISTOPHER MARK RICHARDS | 1194301549 | 2024-05-12 |
Christopher Mark Richards is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194301549. Registration indicates Christopher Mark Richards is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Christopher Mark Richards DO |
Practice Office Address | 3100 N TENAYA WAY LAS VEGAS, NV US |
Practice Office Telephone | 7029625000 |
Mailing Address | 3100 N TENAYA WAY LAS VEGAS, NV 891280436 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |