Provider Demographics
NPI:1033272315
Name:FORDE, RICHARD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JAMES
Last Name:FORDE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2261 ELM ST
Mailing Address - Street 2:BUILDING D
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3721
Mailing Address - Country:US
Mailing Address - Phone:707-253-4727
Mailing Address - Fax:707-253-4815
Practice Address - Street 1:2261 ELM ST
Practice Address - Street 2:BUILDING D
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3721
Practice Address - Country:US
Practice Address - Phone:707-253-4727
Practice Address - Fax:707-253-4815
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2012-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG519982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC83834Medicare UPIN