Michael Shane Richardson, P.A. is a medical physician assistant in Oklahoma 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:
1025 STRAKA TER
OKLAHOMA CITY, OK
ZIP 73139-544
Phone: (405) 632-6688
Fax: (405) 604-0708
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 3/14/2011.