Individual provider · Type 1 NPI

Michael Blake Richardson, MD, DPT

Dermatology Physician · Conway, AR

NPI number 1114474723 Active

Practice location

4206 Prince St
Conway, AR 72034-9398

Fax (501) 499-8227

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XE-19315 (AR)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1114474723

Michael Blake Richardson, MD, DPT's National Provider Identifier is 1114474723, issued on Sep 1, 2016. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Conway, AR. The record was last updated on Jan 18, 2026.