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Individual

RICHARD WAYNE BUDENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD MD

Contact information

Practice address
1100 MARSHALL WAY, MARSHALL MEDICAL CENTER, PLACERVILLE, CA 95667
(530) 622-1441
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(877) 747-5050
(775) 747-5005

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G58681
CA
2085N0700X
Neuroradiology Physician
G58681
CA
2085N0904X
Nuclear Radiology Physician
G58681
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G58681
CA
2085R0203X
Therapeutic Radiology Physician
G58681
CA
2085R0204X
Vascular & Interventional Radiology Physician
G58681
CA
2085R0205X
Radiological Physics Physician
G58681
CA
2085U0001X
Diagnostic Ultrasound Physician
G58681
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300035447
RAILROAD MEDICARE
05
GR0053460
CA
Enumeration date
01/23/2006
Last updated
03/21/2018
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