Individual
RICHARD AUGUSTINE CARDONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 HWY 95, STE. C, BULLHEAD CITY, AZ 86426-9251
(928) 768-4100
(928) 768-6522
Mailing address
PO BOX 9687, BULLHEAD CITY, AZ 86427-9687
(928) 768-4100
(928) 768-6522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26223
AZ
208C00000X
Colon & Rectal Surgery Physician
G84346
CA
208C00000X
Colon & Rectal Surgery Physician
MD050553L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415390
—
AZ
Enumeration date
07/07/2005
Last updated
10/18/2007
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