NPI 1295050342

Cory Glen Richardson, MD

Practitioner Surgery Physician Coeur D Alene, ID

Practice location

Address: 3318 N Grandmill Ln, Coeur D Alene, ID 83814-5689
Phone: (208) 292-0445
Fax: (208) 772-6514

Registered specialties (4)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M-13357 (ID)

Other Surgery providers in Idaho →

Obesity Medicine (Internal Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207RB0002X Licence M-13357 (ID)

Other Internal Medicine providers in Idaho →

Trauma Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence M-13357 (ID)

Gastroenterology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence M-13357 (ID)

Registry record

NPI: 1295050342
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2010
Record last updated: 7 Oct 2025

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.