Provider Demographics
NPI:1366488215
Name:ARMOUR, RICHARD (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:ARMOUR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 ALTA AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2800
Mailing Address - Country:US
Mailing Address - Phone:909-981-3311
Mailing Address - Fax:909-981-3355
Practice Address - Street 1:1113 ALTA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2800
Practice Address - Country:US
Practice Address - Phone:909-981-3311
Practice Address - Fax:909-981-3355
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5860207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF35566Medicare UPIN
CAF35566Medicare UPIN