NPI 1932532686

Jason P Richards MD PLLC

Organisation Sports Medicine (Orthopaedic Surgery) Physician Pocatello, ID

Practice location

Address: 444 Hospital Way STE 477, Pocatello, ID 83201-2744
Phone: (208) 233-8344
Fax: (208) 233-6983

Authorised official

Name: Jason P Richards
Title: Owner
Phone: (208) 233-8344

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence M12138 (ID)

Other Orthopaedic Surgery providers in Idaho →

Registry record

NPI: 1932532686
Entity type: Organization
NPI issued: 16 Aug 2013
Record last updated: 16 Aug 2013

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.