Provider Demographics
NPI:1013009091
Name:D'ARMAND, RICHARD L (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:L
Last Name:D'ARMAND
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13175 E HIGHWAY 169
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86327-7372
Mailing Address - Country:US
Mailing Address - Phone:928-632-1155
Mailing Address - Fax:928-632-8295
Practice Address - Street 1:13175 E HIGHWAY 169
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:AZ
Practice Address - Zip Code:86327-7372
Practice Address - Country:US
Practice Address - Phone:928-632-1155
Practice Address - Fax:928-632-8295
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1941363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical