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NPI Code Detail

MEDICARE: DR. RICHARD A. OBERLEITNER D.C.

MEDICARE:  DR. RICHARD A. OBERLEITNER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor26302CA

General Provider Information

NPI Number : 1710202767
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD A. OBERLEITNER D.C.
Provider Business Mailing Address
First Line : 2356 NEVADA CITY HWY
Second Line :
City : GRASS VALLEY
State : CA
Zip : 95945-7705
Country : US
Telephone Number : 530-478-9939
Fax Number :
Provider Business Practice Location Address
First Line : 2356 NEVADA CITY HWY
Second Line :
City : GRASS VALLEY
State : CA
Zip : 95945-7705
Country : US
Telephone Number : 530-478-9939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 04/01/2010

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Directions to “ DR. RICHARD A. OBERLEITNER D.C.” Practice Location

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