MEDICARE: DR. RICHARD JOSEPH SCHEUERLE III 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2084P0800X	Psychiatry Physician	0101272028	VA

General Provider Information

NPI Number	:	1578054086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOSEPH SCHEUERLE III MD

Provider Business Mailing Address
First Line	:	1145 STURGIS ROAD
Second Line	:
City	:	TWENTYNINE PALMS
State	:	CA
Zip	:	92278
Country	:	US
Telephone Number	:	760-830-2117
Fax Number	:

Provider Business Practice Location Address
First Line	:	1145 STURGIS ROAD
Second Line	:
City	:	TWENTYNINE PALMS
State	:	CA
Zip	:	92278-2117
Country	:	US
Telephone Number	:	760-830-2117
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2018
Last Update Date	:	06/04/2024

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