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NPI Code Detail

MEDICARE: RICHARD ORR DO

MEDICARE: RICHARD ORR DO
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
1207Q00000XFamily Medicine Physician1138NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114990694
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ORR DO
Provider Business Mailing Address
First Line : PO BOX 15645
Second Line :
City : LAS VEGAS
State : NV
Zip : 89114-5645
Country : US
Telephone Number : 702-459-7424
Fax Number : 702-431-0265
Provider Business Practice Location Address
First Line : 540 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5368
Country : US
Telephone Number : 702-459-7424
Fax Number : 702-431-0265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 01/18/2017

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Directions to “ RICHARD ORR DO” Practice Location

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