Individual
RICHARD A MEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7430 SOUTHERN BLVD, BOARDMAN, OH 44512-5629
(330) 729-9214
(330) 729-9217
Mailing address
7430 SOUTHERN BLVD, BOARDMAN, OH 44512-5629
(330) 729-9214
(330) 729-9217
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-03-8880M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386818
—
OH
Enumeration date
02/15/2006
Last updated
10/26/2011
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