MEDICARE: RICHARD ALPHONSE BESSETTE 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	208600000X	Surgery Physician	6033	NV

General Provider Information

NPI Number	:	1831168970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD ALPHONSE BESSETTE MD

Provider Business Mailing Address
First Line	:	1525 VISTA LN
Second Line	:	SUITE 100
City	:	CARSON CITY
State	:	NV
Zip	:	89703-4626
Country	:	US
Telephone Number	:	775-887-8885
Fax Number	:	775-887-9117

Provider Business Practice Location Address
First Line	:	1525 VISTA LN
Second Line	:	SUITE 100
City	:	CARSON CITY
State	:	NV
Zip	:	89703-4626
Country	:	US
Telephone Number	:	775-887-8885
Fax Number	:	775-887-9117

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	10/25/2007

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