MEDICARE: DEAN RICH D.O.

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
1	207Q00000X	Family Medicine Physician	34.004672	OH

General Provider Information

NPI Number	:	1710925557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN RICH D.O.

Provider Business Mailing Address
First Line	:	2417 MANCHESTER RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44314-3522
Country	:	US
Telephone Number	:	330-848-3377
Fax Number	:	330-848-3325

Provider Business Practice Location Address
First Line	:	2417 MANCHESTER RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44314-3522
Country	:	US
Telephone Number	:	330-848-3377
Fax Number	:	330-848-3325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	02/03/2022

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Directions to “ DEAN RICH D.O.” Practice Location

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