Organization
RICHARD INGLE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MORIS INGLE M.D (PRESIDENT)
(775) 304-7237
Entity
Organization
Contact information
Practice address
914 PINE ST, MOUNT SHASTA, CA 96067-2143
(775) 304-7237
(530) 926-7134
Mailing address
PO BOX 292, MOUNT SHASTA, CA 96067-0292
(530) 926-7131
(530) 926-7134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G59041
CA
207VX0000X
Obstetrics Physician
Primary
G59041
CA
Other
Enumeration date
11/19/2016
Last updated
07/21/2022
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