Organization
ERIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAL THOMAS RICHINS JR. MD (OWNER/OPERATOR)
(208) 993-0113
Entity
Organization
Contact information
Practice address
5448 HIGHWAY 260 STE 100, LAKESIDE, AZ 85929-5736
(928) 358-1862
(928) 537-2049
Mailing address
PO BOX 112, EAGAR, AZ 85925-0112
(208) 993-0113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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