Individual
RICHARD IAN GRACER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 NORRIS CANYON RD, SUITE 102, SAN RAMON, CA 94583-5406
(925) 277-1100
(925) 277-1263
Mailing address
5401 NORRIS CANYON RD, SUITE 102, SAN RAMON, CA 94583-5406
(925) 277-1100
(925) 277-1263
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
G35367
CA
207QA0505X
Adult Medicine Physician
G35367
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G35367
CA
Other
Enumeration date
11/16/2006
Last updated
09/26/2011
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