# RICHARD INGLE MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154864379
- **Authorized official:** DR. RICHARD MORIS INGLE M.D (PRESIDENT)
- **Authorized official phone:** (775) 304-7237

## Contact information

- **Practice address:** 914 PINE ST, MOUNT SHASTA, CA 96067-2143
- **Practice address phone:** (775) 304-7237
- **Practice address fax:** (530) 926-7134
- **Mailing address:** PO BOX 292, MOUNT SHASTA, CA 96067-0292
- **Mailing address phone:** (530) 926-7131
- **Mailing address fax:** (530) 926-7134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G59041 | CA | — |
| 207VX0000X | Obstetrics Physician | G59041 | CA | Yes |

## Other

- **Enumeration date:** 11/19/2016
- **Last updated:** 07/21/2022