Individual
RICHARD GRAY LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 975-8825
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34038
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
937609
—
AZ
Enumeration date
05/10/2006
Last updated
06/06/2011
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