IndividualActive
Jason Richards, MD
NPI 1902081813 · Sports Medicine (Orthopaedic Surgery) Physician · Pocatello, ID
Provider details
- NPI number
- 1902081813
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A120201 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2240 E Center St
Pocatello, ID 83201
Phone: (208) 233-8344
Fax: (208) 233-6983
Approximate (ZIP-level) locationGet directions
Mailing address
393 E Walnut St
Pasadena, CA 91188-0001
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.