Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD455817 | PA |
N | 207Q00000X | Family Doctor | MT200938 | PA |
Y | 207QS0010X | Family Doctor - Sports Medicine | A156769 | CA |
NPI | 1265793020 |
---|---|
Provider Name | Richard Oravec |
First Address | Fresno, CA 93722-8401 |
Second Address | Fresno, CA 93722-8401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 06/11/2019 |