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NPI Code Detail

MEDICARE: DR. CHRISTOPHER RICHARD OLDRICH DPM

MEDICARE:  DR. CHRISTOPHER RICHARD OLDRICH  DPM
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
1213E00000XPodiatristPO-2584FL

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 : 1740282078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER RICHARD OLDRICH DPM
Provider Business Mailing Address
First Line : 1505 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-4249
Country : US
Telephone Number : 941-357-7950
Fax Number : 941-840-1003
Provider Business Practice Location Address
First Line : 1505 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-4249
Country : US
Telephone Number : 941-357-7950
Fax Number : 941-840-1003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 03/24/2022

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