| Doctor Name: | PHILLIP OLIVER RICHARDS |
| NPI Number: | 1275861734 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301029346 |
| Business Practice Address: | 45546 Appian Way Indian Wells, CA - 922106150 |
| Business Phone Number: | 7603458904 |
| Business Fax Number: | 7603458510 |
| Mailing Address: | 45546 Appian Way, INDIAN WELLS |
| State: | CA |
| Postal Code: | 922106150 |
| Phone Number: | 7603458904 |
| Fax Number: | 7603458510 |
| NPI Enumeration Date: | 11/21/2009 |
| NPI Last Update Date: | 11/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 4301029346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |