Individual provider · Type 1 NPI
Weldon T. Richardson Iii, PA-C
Medical Physician Assistant · Idaho Falls, ID
NPI number
1629351614
Active
Practice location
1341 E 17th St
Idaho Falls, ID 83404-6235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1629351614
Weldon T. Richardson Iii, PA-C's National Provider Identifier is 1629351614, issued on Sep 26, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 26, 2011.