Individual
DR. RICHARD TIERNEY DAUPHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,FACS
Contact information
Practice address
980 CASS ST, MONTEREY, CA 93940-4548
(831) 375-2489
(831) 375-5824
Mailing address
980 CASS ST, MONTEREY, CA 93940-4548
(831) 375-2489
(831) 375-5824
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G 22565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBND AD 7010919
DRUG PRESCRIBING NUMBER
CA
01
—
EIN 94-2497419
MEDICAL CORPORATION
CA
01
—
G 22565
MEDICAL LICENCE NO.
CA
Enumeration date
10/07/2005
Last updated
08/12/2013
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