Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 20A6752 | CA |
NPI | 1205938537 |
---|---|
Provider Name | Dr. Richard Elliott Uhler |
First Address | Fallbrook, CA 92028-1833 |
Second Address | Temecula, CA 92590-2610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 02/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BU4548357 | DEA NUMBER (01) | CA |
G65473 | (02) | CA |