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NPI Code Detail

MEDICARE: DR. RICHARD LESLIE SHERRY M.D.

MEDICARE: DR. RICHARD LESLIE SHERRY M.D.
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
1207W00000XOphthalmology PhysicianC10002810DE

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 : 1588656276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD LESLIE SHERRY M.D.
Provider Business Mailing Address
First Line : 3200 S COUNTRY CLUB WAY
Second Line :
City : TEMPE
State : AZ
Zip : 85282-4054
Country : US
Telephone Number : 480-839-0206
Fax Number : 480-839-0208
Provider Business Practice Location Address
First Line : 3200 S COUNTRY CLUB WAY
Second Line :
City : TEMPE
State : AZ
Zip : 85282-4054
Country : US
Telephone Number : 480-839-0206
Fax Number : 480-839-0208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 02/05/2026

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