Healthcare Provider Details

I. General information

NPI: 1679647119
Provider Name (Legal Business Name): DONALD FOLEY RICHEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
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 Code207ND0900X
TaxonomyDermatopathology Physician
License NumberC29435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: