Organization
RICARDO SEPULVEDA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO SEPULVEDA MD (AUTHORIZED REPRESENTATIVE/OWNER)
(972) 488-8926
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD, STE 711 PMB 335, DALLAS, TX 75248-4005
(972) 488-8926
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
01/22/2008
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