Healthcare Provider Details

I. General information

NPI: 1548365273
Provider Name (Legal Business Name): DUANE CURTIS RICHEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 01/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3365 G STREET SUITE 100
MERCED CA
95340-0996
US

IV. Provider business mailing address

3365 G ST SUITE 100
MERCED CA
95340-0996
US

V. Phone/Fax

Practice location:
  • Phone: 209-384-4252
  • Fax: 209-384-4251
Mailing address:
  • Phone: 209-384-4252
  • Fax: 209-384-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG32549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: