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Contact Information

RICHARD I. GRACER, MD, INC.
4 CROW CANYON CT
SUITE 210
SAN RAMON, CA94583
 Phone: 925-366-4860
 Fax: 925-886-4466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Addiction (Substance Use Disorder)

101YA0400X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICHARD I GRACER MD INC · (Female)

NPI Number 1497932321
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2008
Last updated 02/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G35367
  • CA Other ZZZ07604Z BLUE SHIELD PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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