Organization
JEROME RICHARDS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME R RICHARDS MD (PRESIDENT)
(559) 437-5645
Entity
Organization
Contact information
Practice address
609 E ORANGEBURG AVE BLDG B, MODESTO, CA 95350-5512
(559) 436-0871
(559) 436-5221
Mailing address
7417 N CEDAR AVE, FRESNO, CA 93720-3637
(559) 436-0871
(559) 436-5221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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