Doctor Name: | MR. RICHARD DENNIS TOMPKINS |
NPI Number: | 1235149543 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, FNP-BC |
License Number: | 08078 |
Business Practice Address: | 49 Maple Street Apple Creek, OH - 44606 |
Business Phone Number: | 3306982015 |
Business Fax Number: | 3306842045 |
Mailing Address: | Po Box 510, 49 Maple Street APPLE CREEK |
State: | OH |
Postal Code: | 44606 |
Phone Number: | 3306825548 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 08078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |