Individual
RICHARD CHILDREY GROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1640 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3988
(916) 784-2277
(916) 932-1104
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8300
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G24643
CA
2085N0700X
Neuroradiology Physician
G24643
CA
2085N0904X
Nuclear Radiology Physician
G24643
CA
2085R0202X
Diagnostic Radiology Physician
G24643
CA
2085R0203X
Therapeutic Radiology Physician
G24643
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G24643
CA
2085R0205X
Radiological Physics Physician
G24643
CA
2085U0001X
Diagnostic Ultrasound Physician
G24643
CA
Other
Enumeration date
06/27/2005
Last updated
09/11/2025
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