Individual
RICHARD HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AIR FORCE BASE, OH 45433
(937) 257-1574
(937) 656-1355
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 45433
(937) 257-1574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135300
—
OH
Enumeration date
02/20/2018
Last updated
07/23/2025
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