Individual provider · Type 1 NPI

Cory Glen Richardson, MD

Surgery Physician · Coeur D Alene, ID

NPI number 1295050342 Active

Practice location

3318 N Grandmill Ln
Coeur D Alene, ID 83814-5689

Fax (208) 772-6514

Other practice locations

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-5081

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XM-13357 (ID)
Obesity Medicine (Internal Medicine) Physician 207RB0002XM-13357 (ID)
Trauma Surgery Physician 2086S0127XM-13357 (ID)
Gastroenterology Physician 207RG0100XM-13357 (ID)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1295050342

Cory Glen Richardson, MD's National Provider Identifier is 1295050342, issued on Apr 1, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Oct 7, 2025.