NPI 1265614309

Travis D Richardson, DO, PLLC

Organisation Orthopaedic Surgery of the Spine Physician Mountain Home, AR

Practice location

Address: 555 W 6th St, Mountain Home, AR 72653-3409
Phone: (870) 424-4507
Fax: (870) 425-4546
Mailing address: PO Box 1677, Mountain Home, AR 72654-1677

Authorised official

Name: Travis Dale Richardson
Title: President
Phone: (870) 424-4507

Registered specialties

Orthopaedic Surgery of the Spine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XS0117X Licence E4201 (AR)

Other Orthopaedic Surgery providers in Arkansas →

Registry record

NPI: 1265614309
Entity type: Organization
NPI issued: 30 Nov 2007
Record last updated: 30 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.