NPI 1073395232

Daniel J Richardson, CAA

Practitioner Anesthesiologist Assistant Saint Louis, MO

Practice location

Address: 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Phone: (314) 525-1000
Mailing address: PO Box 22407, Saint Louis, MO 63126-0407

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence PENDING

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Registry record

NPI: 1073395232
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2023
Record last updated: 23 May 2024

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.