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Organization

PETER C RICHARDS MD,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGNES MERICLE (ACCOUNT MANAGER)
(415) 972-4294
Entity
Organization

Contact information

Practice address
3838 CALIFORNIA ST, 612, SAN FRANCISCO, CA 94118-1522
(415) 221-0735
(415) 221-3583
Mailing address
3838 CALIFORNIA ST, 612, SAN FRANCISCO, CA 94118-1522
(415) 221-0735
(415) 221-3583

Taxonomy

Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
G475880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548323694
INDIVIDUAL NPI
CA
01
BE547
PTAN
CA
Enumeration date
01/05/2009
Last updated
06/28/2013
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