Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 036-134111 | IL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | OS11389 | FL |
NPI | 1932300126 |
---|---|
Provider Name | Rhea Richardson |
First Address | Mayfield Heights, OH 44124-4103 |
Second Address | Chesterland, OH 44026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 25/10/2018 |