Individual
RICHARD D ZUMWALT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
6283 CLARK RD, #9, PARADISE, CA 95969-4100
(530) 872-0617
(530) 872-4463
Mailing address
6765 CHAPMAN LN, PARADISE, CA 95969-2305
(530) 872-4326
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G40946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G409460
—
CA
Enumeration date
02/22/2006
Last updated
07/08/2007
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