Provider / Organization | NPI | Date Certified |
---|---|---|
JASON RICHARDSON | 1255513206 | 2023-01-22 |
Jason F Richardson [M] graduated in 2006 from Ohio State University College Of Medicine and primarily specializes in General Surgery.
Jason Richardson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255513206. Registration indicates Jason Richardson is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)
PECOS ID | 4880872803 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Jason Richardson |
Practice Office Address | 4860 E BASELINE RD STE 105 MESA, AZ US |
Practice Office Telephone | 4804858585 |
Mailing Address | 10115 E BELL RD STE 107 #178 SCOTTSDALE, AZ 852602189 US |
Address | City / State | Phone / Fax |
---|---|---|
9305 W Thomas Rd Ste 480 | Phoenix, AZ 850373375 | 4804858585 |
Code | Practice | License No State |
---|---|---|
208600000X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | 46221
AZ |