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NPI Code Detail

MEDICARE: ROBERT PHILLIP RITCHEY PAC

MEDICARE: ROBERT PHILLIP RITCHEY PAC
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1952388662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT PHILLIP RITCHEY PAC
Provider Business Mailing Address
First Line : 935 MARKET ST
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-4217
Country : US
Telephone Number : 530-673-9420
Fax Number : 530-673-9451
Provider Business Practice Location Address
First Line : 1000 SUTTER ST
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-3459
Country : US
Telephone Number : 530-673-9420
Fax Number : 530-613-9451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 04/08/2015

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Directions to “ ROBERT PHILLIP RITCHEY PAC” Practice Location

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