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Individual

DR. ROBERT BURKE RICHESON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 MILL ST, RENO, NV 89502
(775) 982-7878
(775) 982-4196
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
6747
NV
207RP1001X
Pulmonary Disease Physician
6747
NV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
6747
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11444104
CAQH
05
1235117672
NV
Enumeration date
01/05/2006
Last updated
08/28/2018
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