Organization
ROBERT E RICHARDSON MD PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E RICHARDSON MD (PRESIDENT)
(707) 545-2436
Entity
Organization
Contact information
Practice address
1812 HAPPY VALLEY ROAD, SANTA ROSA, CA 95409
(707) 545-2436
(707) 545-8109
Mailing address
1812 HAPPY VALLEY ROAD, SANTA ROSA, CA 95409
(707) 545-2436
(707) 545-8109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C23280
CA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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