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Individual

RICHARD IMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2340 CLAY STREET, SAN FRANCISCO, CA 94120
(925) 363-8170
Mailing address
4996 MILOEN RD, MARTINEZ, CA 94553
(925) 363-8170
(925) 363-4995

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G38145
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G381450
CA
Enumeration date
11/14/2006
Last updated
07/08/2007
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