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Organization
RICHARD J. ANDOLSEN, MD INC.
Active
Organization
RICHARD J. ANDOLSEN, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J ANDOLSEN M.D. (OWNER)
(707) 433-3369
Entity
Organization
Contact information
Practice address
465 MARCH AVE STE A, HEALDSBURG, CA 95448-3371
(707) 433-3369
(707) 433-7013
Mailing address
465 MARCH AVE STE A, HEALDSBURG, CA 95448-3371
(707) 433-3369
(707) 433-7013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G31940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G319400
—
CA
Enumeration date
03/30/2007
Last updated
08/22/2020
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