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Organization

JEFFREY R. RICHARDSON M D

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY R. RICHARDSON M D (OWNER)
(805) 648-4425
Entity
Organization

Contact information

Practice address
2660 E MAIN ST STE 104, VENTURA, CA 93003-2893
(805) 648-4425
(805) 648-4426
Mailing address
2660 E MAIN ST STE 104, VENTURA, CA 93003-2893
(805) 648-4425
(805) 648-4426

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G38557
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G038557
LIC#
CA
Enumeration date
09/04/2007
Last updated
07/03/2013
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