Individual
DR. RICHMOND EMMERSON ROESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N 13TH AVE, UPLAND, CA 91786-4904
(909) 982-8846
(909) 949-3967
Mailing address
555 N 13TH AVE, UPLAND, CA 91786-4904
(909) 982-8846
(909) 949-3967
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A64048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A640480
—
CA
Enumeration date
07/22/2006
Last updated
05/02/2023
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