Individual
MR. RICHARD J HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2860 CREEKSIDE CIR, MEDFORD, OR 97504
(541) 779-8367
(541) 779-7471
Mailing address
3095 BURRELL RD, MEDFORD, OR 97501
(541) 772-1448
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD 08125
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082768
—
OR
01
—
UAA242450
MEDICAID
CA
Enumeration date
11/20/2006
Last updated
07/08/2007
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