Provider Demographics
NPI:1932464203
Name:HIRSCHHORN, RICHARD CLARK (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CLARK
Last Name:HIRSCHHORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7491 N CATALINA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1387
Mailing Address - Country:US
Mailing Address - Phone:520-577-0842
Mailing Address - Fax:
Practice Address - Street 1:7491 N CATALINA RIDGE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-1387
Practice Address - Country:US
Practice Address - Phone:520-577-0842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16755208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology