Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD426969 | PA |
NPI | 1518002567 |
---|---|
Provider Name | Dr. Scott Daniel Richard |
First Address | Wynnewood, PA 19096-3437 |
Second Address | Wynnewood, PA 19096 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 15/06/2018 |