Richard Childrey Gross in Roseville - Therapeutic Radiology

Richard Childrey Gross - NPI 1164428876

Richard Childrey Gross is a Therapeutic Radiology in Roseville, California. Richard Childrey Gross practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for Richard Childrey Gross is 1164428876. The last update date is 2007-07-08.

Richard Childrey Gross's current location address is 1640 E Roseville Pkwy, Roseville, California. You can contact this provider via phone number 9167842277 and fax number 9169321104. The mailing address for Richard Childrey Gross is 1640 E Roseville Pkwy, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Childrey Gross
Address 1640 E Roseville Pkwy, Roseville, California
Phone Number 9167842277
Fax Number 9169321104
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1164428876
Provider Enumeration Date 2005-06-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1640 E Roseville Pkwy
City Roseville
State California (CA)
Post Code 9566139880
Phone Number 9167842277
Fax Number 9169321104

Provider's Primary Taxonomy Detail

Speciality Therapeutic Radiology
Taxonomy 2085R0203X
Licence No G24643
Definition:
A doctor who specializes in using radiation to treat disease.

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FAQs about Richard Childrey Gross

What is the unique identifier code issued to Richard Childrey Gross by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Childrey Gross has been assigned the NPI (National Provider Identifier) 1164428876. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Richard Childrey Gross?

The Richard Childrey Gross is situated at 1640 E Roseville Pkwy, in the city of Roseville, state of CA, with the zip code 9566139880.

What is Richard Childrey Gross's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard Childrey Gross is Therapeutic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0203X.

On what date did the Centers for Medicare & Medicaid Services assign the 1164428876 to Richard Childrey Gross?

The Centers for Medicare & Medicaid Services assigned the 1164428876 to Richard Childrey Gross on 2005-06-27.

As of what date was the information pertaining to Richard Childrey Gross, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Childrey Gross, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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