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Jeffrey G Richmond, MD
Student in an Organized Health Care Education/Training Program in Gilbert, Arizona
NPI 1184699688

Jeffrey G Richmond is a Student in an Organized Health Care Education/Training Program based in Gilbert, AZ. Jeffrey G Richmond practices in Gilbert, AZ and has the professional credentials of MD. The NPI Number for Jeffrey G Richmond is 1184699688 and holds a License No. 16775 (Arizona).

The current practice location address for Jeffrey G Richmond is 2940 E Banner Gateway Dr, Gilbert, AZ and can be reached out via phone at 480-256-3676 and via fax at 480-256-3608.

Location: 2940 E Banner Gateway Dr, Gilbert, AZ, 85234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184699688
Provider Name
Jeffrey G Richmond
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2940 E Banner Gateway Dr, Gilbert, AZ, 85234
Phone Number
480-256-3676
Fax Number
480-256-3608
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270679 01 AZ AHCCCS
766073 01 AZ WELLCARE MEDICARE ADVANTAGE
4Z9359 01 AZ HEALTH NET
4035361 01 AZ AETNA
2426074 01 AZ CIGNA
P01075626 01 AZ RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2940 E Banner Gateway Dr
City
Gilbert
State
Arizona
Zip
85234
Phone Number
480-256-3676
Fax Number
480-256-3608
person
Provider Business Mailing Address Details
Address
2940 E Banner Gateway Dr
City
Gilbert
State
Arizona
Zip
85234
Phone Number
480-256-3676
Fax Number
480-256-3608
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
16775 (Arizona)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
16775 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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