Individual
DR. RICHARD BLAIR PHINNEY
Active
Individual
DR. RICHARD BLAIR PHINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-082190
IL
207W00000X
Ophthalmology Physician
Primary
2016-00709
NC
207W00000X
Ophthalmology Physician
27985
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060350
IA GROUP MEDICAID
IA
05
—
0078956
—
IA
05
—
036082190
—
IL
01
—
26568
IA GROUP MEDICARE
IA
01
—
790730
IL GROUP MEDICARE
IL
Enumeration date
12/28/2005
Last updated
06/28/2016
Update your record
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