Harold Riches D.o. | |
9305 W National Ave West Allis WI 53227-1541 | |
(414) 545-1120 | |
Not Available |
Full Name | Harold Riches D.o. |
---|---|
Speciality | Family Medicine |
Location | 9305 W National Ave, West Allis, Wisconsin |
Authorized Official Name and Position | Harold Riches (OWNER) |
Authorized Official Contact | 4145451120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harold Riches D.o. 9305 W National Ave West Allis WI 53227-1541 Ph: (414) 545-1120 | Harold Riches D.o. 9305 W National Ave West Allis WI 53227-1541 Ph: (414) 545-1120 |
NPI Number | 1427079532 |
---|---|
Provider Enumeration Date | 07/22/2006 |
Last Update Date | 10/01/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427079532 | NPI | - | NPPES |
30011000 | Medicaid | WI | |
39130061011 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21822 (Missouri) | Primary |
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