Jerome Richards MD INC

NPI #1750939781 in Modesto, California

Provider Information

NPI Number: 1750939781
Entity Type: Organization
Organization Name: Jerome Richards MD INC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 3, 2019
Last Updated: Sep 3, 2019

Practice Location

Address: 609 E ORANGEBURG AVE BLDG B
City: Modesto
State: California
ZIP Code: 95350-5512
Phone: (559) 436-0871

Authorized Official

Name: JEROME R RICHARDS, MD
Title: PRESIDENT
Phone: (559) 437-5645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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