Organization
CARLTON A RICHIE III DO PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLTON A RICHIE DO (OWNER/PHYSICIAN)
(480) 751-3771
Entity
Organization
Contact information
Practice address
1840 E BASELINE RD, SUITE C-2, TEMPE, AZ 85283-1527
(480) 751-3771
(480) 751-3778
Mailing address
7349 N VIA PASEO DEL SUR, SUITE 515 #206, SCOTTSDALE, AZ 85258-3765
(480) 751-3771
(480) 751-3778
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
3440
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699770925
INDIVIDUAL NPI
AZ
Enumeration date
12/26/2007
Last updated
02/01/2008
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