NPI 1992727150 · live from the CMS NPI Registry
Derrick L Richardson, MD
Internal Medicine, Gastroenterology in Fort Smith, AR. National Provider Identifier 1992727150, active.
NPI record
| NPI | 1992727150 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 6801 Rogers Ave, Fort Smith, AR 72903 |
| Practice phone | 479-274-3200 |
| Mailing address | Po Box 3528, Fort Smith, AR 72913 |
| Enumerated | July 24, 2006 |
| Last updated | September 1, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | C-8460 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.