Organization
MOUNTAIN AIR FUNCTIONAL MEDICINE
Active
Other names
Mountain Air Functional Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHARLES HERIZA ND, MPH (OWNER)
(541) 519-0694
Entity
Organization
Contact information
Practice address
2100 MAIN ST, BAKER CITY, OR 97814-2655
(541) 519-0694
Mailing address
2100 MAIN ST, BAKER CITY, OR 97814-2655
(541) 519-0694
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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