Provider Demographics
NPI:1033190657
Name:RICHARDS, JOHN RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RAY
Last Name:RICHARDS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:PSSB 2100 EMERGENCY MEDICINE
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-1537
Mailing Address - Fax:916-734-7950
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:PSSB 2100 EMERGENCY MEDICINE
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-1537
Practice Address - Fax:916-734-7950
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG79597207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine