Individual
RICHARD JOHN MAUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5880
(541) 706-6372
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5880
(541) 706-6372
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD 19375
OR
207RP1001X
Pulmonary Disease Physician
MD19375
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072561
—
OR
05
—
8574709
—
WA
Enumeration date
08/22/2005
Last updated
12/05/2012
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