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Troy Richardson, CRNA

Nurse Anesthetist, Certified Registered in Rapid City, SD. Individual provider (NPI-1).

NPI number1609983014
StatusActive
Last updated in NPPESSep 6, 2013

Details

NPI
1609983014
Entity type
Individual (NPI-1)
Name
Troy Richardson
Credential
CRNA
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2006
Last updated
Sep 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredR024527SDYes

Practice location

216 Anamaria Dr
Rapid City, SD 57701-7366

Phone 605-342-6954

Mailing address

11300 Crooked Canyon Rd
Black Hawk, SD 57718-8903

Phone 605-342-6954

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