Individual
DR. RICHARD KEITH BACHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 GREENWAY DR, LAKE WALES, FL 33898-5266
(863) 676-8460
Mailing address
540 GREENWAY DR, LAKE WALES, FL 33898-5266
(863) 676-8460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
86975
FL
208D00000X
General Practice Physician
Primary
86975
FL
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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