| Doctor Name: | RICHARD CHILDREY GROSS |
| NPI Number: | 1164428876 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G24643 |
| Business Practice Address: | 1640 E Roseville Pkwy Roseville, CA - 956613988 |
| Business Phone Number: | 9167842277 |
| Business Fax Number: | 9169321104 |
| Mailing Address: | 1500 Expo Pkwy, SACRAMENTO |
| State: | CA |
| Postal Code: | 958154227 |
| Phone Number: | 9166468300 |
| Fax Number: | 9169204434 |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | G24643 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |