Individual provider · Type 1 NPI

Allegra Richardson

Surgical Physician Assistant · Bradenton, FL

NPI number 1245609288 Active

Practice location

2010 59th St W
Bradenton, FL 34209-4616

Call (941) 794-5621 Map

Mailing address

2010 59th St W Ste 2200
Bradenton, FL 34209-4689

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA911640 (FL)
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XPA11020836 (FL)

Surgical Physician Assistant: Definition to come...

33 other providers at this address

Other surgical physician assistant providers in Bradenton

See all in Bradenton →

About NPI 1245609288

Allegra Richardson's National Provider Identifier is 1245609288, issued on Sep 21, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bradenton, FL. The record was last updated on Apr 12, 2023.