Individual
ROBERT J RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(904) 805-1302
Mailing address
PO BOX 758705, BALTIMORE, MD 21275-0001
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34005357
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000475286
BLUE SHIELD
OH
05
—
0856695
—
OH
Enumeration date
07/27/2006
Last updated
01/27/2010
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