Doctor Name: | DR. RICHARD E BEHYMER |
NPI Number: | 1396721205 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C36367 |
Business Practice Address: | 22629 Twain Harte Dr #d Twain Harte, CA - 953839628 |
Business Phone Number: | 2095830191 |
Business Fax Number: | |
Mailing Address: | Po Box 937, TWAIN HARTE |
State: | CA |
Postal Code: | 953830937 |
Phone Number: | 2095860191 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | C36367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |