Individual
DR. RICHARD B ISMACH
Active
Individual
DR. RICHARD B ISMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25393
OR
207R00000X
Internal Medicine Physician
MD25393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816483B
—
GA
05
—
041178
—
OR
05
—
8228769
—
WA
Enumeration date
06/09/2005
Last updated
03/03/2021
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