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NPI Code Detail

MEDICARE: RICHARD KURTIS WAMPLER

MEDICARE: RICHARD KURTIS WAMPLER
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 PhysicianC38399CA

General Provider Information

NPI Number : 1720962996
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD KURTIS WAMPLER
Provider Business Mailing Address
First Line : 5360 BARTON RD
Second Line :
City : LOOMIS
State : CA
Zip : 95650-9060
Country : US
Telephone Number : 916-425-6087
Fax Number :
Provider Business Practice Location Address
First Line : 201 BERKELEY AVE
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2205
Country : US
Telephone Number : 916-791-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2025
Last Update Date : 08/01/2025

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Directions to “ RICHARD KURTIS WAMPLER ” Practice Location

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