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NPI Code Detail

MEDICARE: DAVID RICH M D INC

MEDICARE: DAVID RICH M D INC
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 Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CJ3168OTHEROHRR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1144340076
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID RICH M D INC
Provider Business Mailing Address
First Line : 2959 CANFIELD RD
Second Line : SUITES 8 & 9
City : YOUNGSTOWN
State : OH
Zip : 44511-2800
Country : US
Telephone Number : 330-797-0222
Fax Number : 330-797-0058
Provider Business Practice Location Address
First Line : 2959 CANFIELD RD
Second Line : SUITES 8 & 9
City : YOUNGSTOWN
State : OH
Zip : 44511-2800
Country : US
Telephone Number : 330-797-0222
Fax Number : 330-797-0058
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID RICH
Credential : MD
Telephone Number : 330-797-0222
Provider Enumeration Date : 04/02/2007
Last Update Date : 01/30/2017

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1811036650 — VICTOR MARTIN DUTKO JR. DDS
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1801924451 — JENNIFER LYNN KOVACS ST
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