MEDICARE: DR. RICHARD E HAMMOND 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	207N00000X	Dermatology Physician	A22956	CA

General Provider Information

NPI Number	:	1699773085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD E HAMMOND MD

Provider Business Mailing Address
First Line	:	334 S PATTERSON AVE
Second Line	:	STE 105
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2475
Country	:	US
Telephone Number	:	805-964-1514
Fax Number	:	805-964-0861

Provider Business Practice Location Address
First Line	:	334 S PATTERSON AVE
Second Line	:	STE 105
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2475
Country	:	US
Telephone Number	:	805-964-1514
Fax Number	:	805-964-0861

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	10/12/2007

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