Michael Shane Richardson, P.A. is a medical physician assistant in Midwest City, OK with 18 years of experience. Michael Shane Richardson, P.A. NPI is 1225179849. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7521 SE 15TH ST
MIDWEST CITY, OK
ZIP 73110-425
Phone: (405) 453-8004
Fax: (405) 561-4857
The NPI 1225179849 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/8/2007 and was last updated on 3/21/2022.