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Individual
DR. RICHARD B MANTELL
Active
Individual
DR. RICHARD B MANTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A39992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A399920
BLUE SHIELD
—
05
—
00A399920
—
CA
01
—
A39992
BLUE CROSS
—
Enumeration date
12/19/2006
Last updated
09/07/2012
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