Organization
RICHARD E. FAUSEL, D.O, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E FAUSEL DO (PRESIDENT)
(760) 779-9353
Entity
Organization
Contact information
Practice address
39700 BOB HOPE DR, SUITE 216, RANCHO MIRAGE, CA 92270-3267
(760) 779-9353
Mailing address
39700 BOB HOPE DRIVE, SUITE 216, RANCHO MIRAGE, CA 92270
(760) 779-9353
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A5111
CA
Other
Enumeration date
07/05/2006
Last updated
04/17/2013
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