Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | C29435 | CA |
NPI | 1679647119 |
---|---|
Provider Name | Donald Foley Richey |
First Address | Chico, CA 95926-2241 |
Second Address | Chico, CA 95926-2241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |