Individual
DR. JAMES RANDALL RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
Mailing address
2221 HAYES AVE # 2, FREMONT, OH 43420-2632
(419) 334-8943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35044926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709657
—
OH
Enumeration date
09/05/2006
Last updated
07/28/2021
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