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NPI 1295050342

IndividualActive

Cory Richardson, MD

NPI 1295050342 · Surgery Physician · Coeur D Alene, ID

Provider details

NPI number: 1295050342
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: M-13357 (ID)

Practice location

3318 N Grandmill Ln

Coeur D Alene, ID 83814-5689

Phone: (208) 292-0445

Fax: (208) 772-6514

More ID providers

Mailing address

3318 N Grandmill Ln

Coeur D Alene, ID 83814-5689

Registry dates

Enumerated: 2010-04-01
Last updated: 2025-10-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Cory Richardson, MD — NPI 1295050342, Coeur D Alene, ID | NPI Central