Individual
RICHARD P. BAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 ASHBY AVE, SUITE 2785, BERKELEY, CA 94705-2067
(510) 204-1691
(510) 204-5422
Mailing address
2855 TELEGRAPH AVE, SUITE 204, BERKELEY, CA 94705-1128
(510) 549-8960
(510) 549-8965
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G23592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G235920
—
CA
Enumeration date
07/26/2006
Last updated
07/08/2007
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