Organization
E. DAVID RISCH, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DAVID RISCH M.D. (OWNER)
(386) 916-1074
Entity
Organization
Contact information
Practice address
6500 CRILL AVE, E DAVID RISCH, PALATKA, FL 32177-9230
(386) 916-1074
Mailing address
PO BOX 1459, PALATKA, FL 32178-1459
(386) 916-1074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME39524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066253400
—
FL
01
—
1437152840
TYPE 1 NPI
—
Enumeration date
04/27/2013
Last updated
04/27/2013
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