| Richard Fulroth, MD | |
|
550 E Washington Blvd, Crescent City, CA 95531-8160 | |
| (707) 465-6925 | |
| (707) 465-6070 |
| Full Name | Richard Fulroth |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 550 E Washington Blvd, Crescent City, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346236643 | NPI | - | NPPES |
| 0361513 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35041407 (Ohio) | Secondary |
| 208000000X | Pediatrics | 25087 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Fulroth, MD 4137 N 108th Ave, Phoenix, AZ 85037-5459 Ph: (623) 877-7337 | Richard Fulroth, MD 550 E Washington Blvd, Crescent City, CA 95531-8160 Ph: (707) 465-6925 |
Susan Brallier, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715 Fax: 707-464-9593 | |
Anne Marie Duncan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Marshall St, Crescent City, CA 95531 Phone: 707-465-1126 Fax: 707-465-0937 | |
Hannah Parker, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 550 E Washington Blvd Bldg Suite100, Crescent City, CA 95531 Phone: 707-465-6925 | |
Dr. Dominic Omar Ansari, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 800 E Washington Blvd, Crescent City, CA 95531 Phone: 707-464-8511 | |
Dr. Carla Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715 |