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Contact Information

ROBERT E RICHARDSON MD PROFESSIONAL CORP.
1812 HAPPY VALLEY ROAD
SANTA ROSA, CA95409
 Phone: 707-545-2436
 Fax: 707-545-8109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT E RICHARDSON MD PROFESSIONAL CORP.

NPI Number 1427351162
LBN Legal business name ROBERT E RICHARDSON MD PROFESSIONAL CORP.
Authorized official ROBERT RICHARDSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2010
Last updated 12/20/2010 - About 15 years ago
Identifiers
CA License # C23280
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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