| Richard Ingle Md Inc | |
|
914 Pine St Mount Shasta CA 96067-2143 | |
| (775) 304-7237 | |
| (530) 926-7134 |
| Full Name | Richard Ingle Md Inc |
|---|---|
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 914 Pine St, Mount Shasta, California |
| Authorized Official Name and Position | Richard Moris Ingle (PRESIDENT) |
| Authorized Official Contact | 7753047237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Ingle Md Inc Po Box 292 Mount Shasta CA 96067-0292 Ph: (530) 926-7131 | Richard Ingle Md Inc 914 Pine St Mount Shasta CA 96067-2143 Ph: (775) 304-7237 |
| NPI Number | 1154864379 |
|---|---|
| Provider Enumeration Date | 11/19/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154864379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G59041 (California) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | G59041 (California) | Primary |
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