Individual
PETER C RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3838 CALIFORNIA ST, SUITE 612, SAN FRANCISCO, CA 94118
(415) 221-0736
(415) 221-3583
Mailing address
3838 CALIFORNIA ST, SUITE 612, SAN FRANCISCO, CA 94118
(415) 221-0736
(415) 221-3583
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G47588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G475880
MEDICARE PROVIDER NUMBER
CA
01
—
1366688855
TYPE 2 NPI
CA
01
—
BE547Z
PTAN
CA
Enumeration date
12/19/2006
Last updated
05/22/2009
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