Individual provider · Type 1 NPI

Beth Barbara Richardson, DPM

Foot & Ankle Surgery Podiatrist · Rockford, IL

NPI number 1811513641 Active

Practice location

1253 N Alpine Rd
Rockford, IL 61107-2201

Fax (815) 397-9645

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016-005964 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1811513641

Beth Barbara Richardson, DPM's National Provider Identifier is 1811513641, issued on Jun 17, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Rockford, IL. The record was last updated on Feb 7, 2024.