| Kyle Richardson, MD | |
|
1200 N Beaver St, Flagstaff, AZ 86001-3118 | |
| (928) 779-3366 | |
| Not Available |
| Full Name | Kyle Richardson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1200 N Beaver St, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043713878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 67306 (Arizona) | Primary |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Richardson, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366 | Kyle Richardson, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366 |
Dr. Jeremy Nielsen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Dr. Judith Amanda Kelley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1020 N San Francisco St, Ste 100, Flagstaff, AZ 86001 Phone: 928-214-2156 | |
Dr. Kevin Neal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-639-6150 | |
Dr. Douglas Dean Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 | |
Dr. James H Gibson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1020 N San Francisco St, Ste 1000, Flagstaff, AZ 86001 Phone: 928-526-1112 Fax: 928-714-9285 | |
Dr. Gary Steven Christensen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504 |