Basic Information
| Provider Information | |||||||||
| NPI: | 1457325938 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RATHGEBER | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 COX RD | ||||||||
| Address2: | |||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230609263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8049685700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 713 BETHLEHEM PIKE | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERYVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189369602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2676953944 | ||||||||
| FaxNumber: | 2676953945 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 03/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | OS004845L | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.