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Individual

RICHARD LEE WHEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(650) 367-5536
Mailing address
P.O. BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A37453
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A374530
CA
01
300121866
RAILROAD MEDICARE
CA
Enumeration date
06/14/2006
Last updated
08/07/2012
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