Individual provider · Type 1 NPI

Jason P. Richards, MD

Sports Medicine (Orthopaedic Surgery) Physician · Pocatello, ID

NPI number 1902081813 Active

Practice location

2240 E Center St
Pocatello, ID 83201

Fax (208) 233-6983

Mailing address

393 E Walnut St, Phr Group Provider Enrollment Unit, 3rd Fl
Pasadena, CA 91188-0001

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005XA120201 (CA)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1902081813

Jason P. Richards, MD's National Provider Identifier is 1902081813, issued on Jan 9, 2008. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Pocatello, ID. The record was last updated on Dec 6, 2021.