Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 20417 | CA |
NPI | 1003248972 |
---|---|
Provider Name | Richard L Styler |
First Address | Palm Desert, CA 92260-3703 |
Second Address | Palm Desert, CA 92260-3703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2013 |
Last Update Date | 07/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CA115194 | (02) | CA |