Provider Demographics
NPI:1902974421
Name:PEPPLE, RICHARD THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:THOMAS
Last Name:PEPPLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3330 CHURN CREEK RD
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-2532
Mailing Address - Country:US
Mailing Address - Phone:530-222-0527
Mailing Address - Fax:530-222-0537
Practice Address - Street 1:3330 CHURN CREEK RD
Practice Address - Street 2:SUITE C-1
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-2532
Practice Address - Country:US
Practice Address - Phone:530-222-0527
Practice Address - Fax:530-222-0537
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG041270207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC51841Medicare UPIN