Individual
RICHARD S SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4915 E BASELINE RD, SUITE 116, GILBERT, AZ 85234
(480) 354-9200
(480) 354-9201
Mailing address
2653 W GUADALUPE ROAD, SUITE 201, MESA, AZ 85202
(480) 889-3500
(480) 889-3502
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
21626
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138140
AHCCCS
AZ
01
—
1Z7049
HEALTHNET
AZ
01
—
470001313
RAILROAD MEDICARE
AZ
01
—
AZ0324990
BCBS
AZ
Enumeration date
05/05/2006
Last updated
11/20/2007
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