| Doctor Name: | DR. MATTHEW B RICHINS |
| NPI Number: | 1003874181 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 206009605 |
| Business Practice Address: | 1531 W 32nd St Ste 204 Joplin, MO - 648041611 |
| Business Phone Number: | 4177827500 |
| Business Fax Number: | 4177827524 |
| Mailing Address: | Po Box 3592, JOPLIN |
| State: | MO |
| Postal Code: | 648033592 |
| Phone Number: | 4177827500 |
| Fax Number: | 4177827524 |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 08/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 206009605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |