Individual
DR. RICHARD C MANTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.018258
LA
207R00000X
Internal Medicine Physician
Primary
MD28549
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500610065
—
OR
01
—
MD28549
LICENSE
OR
01
—
P00893292
RR MEDICARE - PHS
OR
Enumeration date
05/15/2006
Last updated
03/22/2021
Update your record
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