Individual
DR. RICHARD W TEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 CONSTITUTION BLVD, BLDG. 200, FLOOR ONE, SUITE 103, SALINAS, CA 93906-3100
(831) 755-4123
(831) 755-4123
Mailing address
1615 BUNKER HILL WAY, SUITE 100, SALINAS, CA 93906-6013
(831) 769-1304
(831) 757-0291
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G42005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70127F
—
CA
Enumeration date
07/22/2006
Last updated
04/18/2011
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