| Edward P. Richert, M.d., Inc. | |
|
229 W Mcdowell Ave Alturas CA 96101-3933 | |
| (530) 233-7052 | |
| (530) 233-4302 |
| Full Name | Edward P. Richert, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 229 W Mcdowell Ave, Alturas, California |
| Authorized Official Name and Position | Edward P. Richert (PRESIDENT) |
| Authorized Official Contact | 5302334680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward P. Richert, M.d., Inc. 710 E 5th St Alturas CA 96101-3506 Ph: (530) 233-4680 | Edward P. Richert, M.d., Inc. 229 W Mcdowell Ave Alturas CA 96101-3933 Ph: (530) 233-7052 |
| NPI Number | 1003055740 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003055740 | NPI | - | NPPES |
| 00G359110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G35911 (California) | Primary |
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