DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL BLAKE RICHARDSON, MD, DPT

Active Sole Proprietor

MICHAEL BLAKE RICHARDSON, MD, DPT is a Dermatology healthcare provider located in CONWAY, Arkansas. NPI 1114474723 is currently active in the NPPES registry. Verify at CMS.

Dermatology · CONWAY, AR

Registration Details

NPI Number
1114474723
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2016 (9.969816280556 yrs)
Last Updated
Jan 18, 2026
License
E-19315 (AR)
Sole Proprietor
Yes

Practice Information

Address
4206 PRINCE ST
CONWAY, AR, 720349398
Browse AR providers · Browse ZIP 72034
Phone
5014998217
Fax
5014998227
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in CONWAY, AR

Name Credential NPI
DR. THOMAS FLOYD HUDSON III MD 1588643563
DR. SHELLEY W RUSSELL M.D. 1457330011
DR. ERIC BRIAN RUSSELL M.D. 1033198510
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.