NPI 1043723703

Candice Richardson

Practitioner Specialist Little Rock, AR

Practice location

Address: 10618 Breckenridge Dr, Little Rock, AR 72211-1802
Phone: (501) 217-8600
Fax: (501) 217-8636

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1043723703
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2017
Record last updated: 15 Nov 2017

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.