Organization
JULEE RICHARDS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULEE KAY RICHARDS MD (PRESIDENT)
(541) 440-2165
Entity
Organization
Contact information
Practice address
341 MEDICAL LOOP, STE 110, ROSEBURG, OR 97471-5546
(541) 440-2165
(541) 440-8932
Mailing address
341 MEDICAL LOOP, STE 110, ROSEBURG, OR 97471-5546
(541) 440-2165
(541) 440-8932
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD17078
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026463
—
OR
01
—
070016168
RR MEDICARE PIN
OR
01
—
804708001
BLUE CROSS BLUE SHIELD
OR
01
—
CJ9890
RR MEDICARE GROUP
OR
01
—
R112629
MEDICARE INDIVIDUAL PIN
OR
Enumeration date
12/27/2006
Last updated
04/23/2018
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