Individual
DR. RICHARD INGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6901 22ND AVE N, SAINT PETERSBURG, FL 33710-3943
(727) 343-3006
Mailing address
805 MAPLE RIDGE RD, PALM HARBOR, FL 34683-2919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1160
FL
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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