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Organization
MOUNTAIN AIR FUNCTIONAL MEDICINE
Active
Organization
MOUNTAIN AIR FUNCTIONAL MEDICINE
Active
Other names
Mountain Air Functional Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHARLES HERIZA ND, MPH (OWNER)
(541) 519-0694
Entity
Organization
Contact information
Practice address
2100 MAIN ST, BAKER CITY, OR 97814-2655
(541) 519-0694
Mailing address
2100 MAIN ST, BAKER CITY, OR 97814-2655
(541) 519-0694
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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