CORY G RICHARDSON

NORTH IDAHO DAY SURGERY LLC

Dr CORY G RICHARDSON is a male medical professional, specializing in General Surgery. He graduated in 2010 from University Of Nevada School Of Medicine.

Contact

NORTH IDAHO DAY SURGERY LLC

750 N SYRINGA ST
SUITE 205
POST FALLS
ID
838545275

Tel: 2082620945

CORY G RICHARDSON Information

Npi 1295050342
Pac Id 6608095815
Professional Enrollment Id I20160901001559
Last Name RICHARDSON
First Name CORY
Middle Name G
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH IDAHO DAY SURGERY LLC
Group Practice Pac Id 0840101218
Number Of Group Practice Members 23
Line 1 Street Address 750 N SYRINGA ST
Line 2 Street Address SUITE 205
Marker Of Address Line 2 Suppression
City POST FALLS
State ID
Zip Code 838545275
Phone Number 2082620945
Hospital Affiliation Ccn 1 130066
Hospital Affiliation Lbn 1 NORTHWEST SPECIALTY HOSPITAL
Hospital Affiliation Ccn 2 130049
Hospital Affiliation Lbn 2 KOOTENAI HEALTH
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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