Healthcare Provider Details

I. General information

NPI: 1679765283
Provider Name (Legal Business Name): DONALD F RICHEY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 COHASSET RD SUITE 240
CHICO CA
95926-2241
US

IV. Provider business mailing address

251 COHASSET RD SUITE 240
CHICO CA
95926-2241
US

V. Phone/Fax

Practice location:
  • Phone: 530-342-3686
  • Fax: 530-342-4199
Mailing address:
  • Phone: 530-342-3686
  • Fax: 530-342-4199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC29435
License Number StateCA

VIII. Authorized Official

Name: DONALD FOLEY RICHEY
Title or Position: OWNER
Credential: MD
Phone: 530-342-3686