Richard Fulroth
MD | Pediatrics | Male
Richard Fulroth, MD is a Crescent City, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Richard Fulroth is
550 E Washington Blvd, Crescent City, California - 95531-8160. He can be contacted on phone at
707-465-6925 and fax number 707-465-6070.
Richard Fulroth is a sole proprietor of his business.
NPI number (Unique professional ID) for Richard Fulroth is
1346236643 which was assigned by NPPES on 22 Sep, 2005 and it was last updated on 01 Jul, 2021.
Richard Fulroth license number is
25087 for Pediatrics (208000000X) in Arizona.
Richard Fulroth is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Richard Fulroth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Richard Fulroth |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Richard Fulroth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 550 E Washington Blvd
Crescent City, CA, 95531-8160
United States |
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| Phone Number : | 707-465-6925 |
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| Fax Number : | 707-465-6070 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346236643 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2005 |
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| Last Updated On : | 01 Jul, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Fulroth are as mentioned. Primary taxonomy code for Richard Fulroth, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 35041407 | OH |
| 208000000X | Pediatrics | Yes | 25087 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Richard Fulroth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0361513 | MEDICAID | OH | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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4137 N 108TH AVE,
PHOENIX, AZ, 85037-5459
United States | PHOENIX, AZ | 623-877-7337 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4137 N 108th Ave
Phoenix, AZ, 85037-5459
United States |
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| Phone Number : | 623-877-7337 |
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Business Location:
Patients can refer following map for directions to
Richard Fulroth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.