Basic Information
| Provider Information | |||||||||
| NPI: | 1679647119 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RICHEY | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | FOLEY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 COHASSET RD | ||||||||
| Address2: | SUITE 240 | ||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959262241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5303423686 | ||||||||
| FaxNumber: | 5303424199 | ||||||||
| Practice Location | |||||||||
| Address1: | 251 COHASSET RD | ||||||||
| Address2: | SUITE 240 | ||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959262241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5303423686 | ||||||||
| FaxNumber: | 5303424199 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0900X | C29435 | CA | Y | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
No ID Information.