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NPI Code Detail

MEDICARE: DAVID RICH MD

MEDICARE:   DAVID  RICH  MD
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 Physician35/05-9253ROH

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 : 1396732426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RICH MD
Provider Business Mailing Address
First Line : 2959 CANFIELD RD
Second Line : SUITE 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 : SUITE 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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 12/12/2023

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Directions to “ DAVID RICH MD” Practice Location

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