Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.131163 | OH |
Y | 207VE0102X | Reproductive Endocrinologist | 35.131163 | OH |
NPI | 1326489063 |
---|---|
Provider Name | Elliott G Richards |
First Address | Cleveland, OH 44195-2424 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2013 |
Last Update Date | 11/11/2020 |