Individual
RICHARD ALAN SIDEBOTTOM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 W 7TH ST, FORT WORTH, TX 76102-3510
(817) 882-2892
Mailing address
801 W 7TH ST, FORT WORTH, TX 76102-3510
(817) 882-2892
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G0835
TX
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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