# ERIC RICHMOND SARGENT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023011517
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0420010146 | VT | Yes |
| 208800000X | Urology Physician | 26588 | IA | — |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 11/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01786350 | — | NY |
| 05 | — | 0VN2503 | — | VT |
| 05 | — | 1023011517 | — | IA |
| 05 | — | 209143403 | — | MO |
| 01 | — | 37456 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 42143522520 | JOHN DEERE | — |
| 01 | — | 421435525 | TRI-CARE GROUP NUMBER | — |
| 01 | — | 71754 | WELLMARK/BLUE CROSS/BLUE | IA |
| 01 | — | G87836 | CALIFORNIA LIC | CA |