Individual provider · Type 1 NPI

Thea A. Richardson, PA-C

Medical Physician Assistant · Clearfield, PA

NPI number 1275583247 Active

Practice location

1036 Park Avenue Ext
Clearfield, PA 16830-4028

Call (814) 765-9677 Map

Mailing address

749 Maple St
Brockway, PA 15824-1405

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XOS000518L (PA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1275583247

Thea A. Richardson, PA-C's National Provider Identifier is 1275583247, issued on May 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clearfield, PA. The record was last updated on Jul 26, 2011.