National Provider Identifier
Tara L Richards, PA
Tara L Richards, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 829-2070.
Profile Overview
- NPI
- 1083844302
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 21, 2009
- Last Updated
- December 12, 2012
Practice Location
- 160 Farber Hall
- Buffalo, NY 14214-8001
Phone: (716) 829-2070
Mailing Address
- 5500 Main St
- Suite 107
- Williamsville, NY 14221-6755
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1083844302
- Entity Type
- Individual
- Last Name
- Richards
- First Name
- Tara
- Middle Name
- L
- Credential
- PA
- Provider Other Last Name
- Tutwiler
- Provider Other First Name
- Tara
- Provider Other Middle Name
- L
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5500 Main St
- Mailing Address Line 2
- Suite 107
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6755
- Mailing Country
- US
- Mailing Phone
- (716) 204-3200
- Mailing Fax
- (716) 204-4061
- Practice Street Address
- 160 Farber Hall
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-8001
- Practice Country
- US
- Practice Phone
- (716) 829-2070
- Practice Fax
- (716) 829-2138
- Enumeration Date
- July 21, 2009
- Last Updated
- December 12, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)