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Richard N Southard

  • Male

Medical Specialty

Professional ID

  • NPI: 1538162953
  • PECOS ID: 5294648788
  • Enrollment ID: I20100526000302
  • Credential(MD, DO, DPM): MD
  • Medical School: Ohio State University College Of Medicine
  • Medical School Graduation Year: 1987

Hospital Service

  • Hospital CCN1: 033302
  • Business Name (LBN)1: Phoenix Childrens Hospital

Medical Practices

  • Organization Name: Phoenix Childrens Hospital
  • Group Practice ID assigned by PECOS: 0446278584
  • Number of Group Practice member: 219

Location

  • Address1: 1919 E Thomas Rd
  • Address2:
  • City: Phoenix
  • State: Arizona
  • Zip Code: 85016
  • Phone Number: (602)933-1000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):