NPI 1114474723

Michael Blake Richardson, MDDPT

Practitioner Dermatology Physician Conway, AR

Practice location

Address: 4206 Prince St, Conway, AR 72034-9398
Phone: (501) 499-8217
Fax: (501) 499-8227

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence E-19315 (AR)

Other Dermatology providers in Arkansas →

Registry record

NPI: 1114474723
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2016
Record last updated: 18 Jan 2026

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.