Richard Puckett LPMED

NPI 1639275761 - Psychologist - 103TC1900X

NPI Details
NPI 1639275761
Gender Male
Enumeration Date 09/16/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2618 EMERALD DR
GRAND RAPIDS MN, 55744-5060, US
Phone (218) 327-9013
Fax (218) 327-9013
Business Location
2618 EMERALD DR
GRAND RAPIDS MN, 55744-5060, US
Phone (218) 327-9013
Fax (218) 327-9013
Toxanomy
Taxonomy Code 103TC1900X
License State Minnesota
License Number 1835
Remove 1639275761 NPI Number
 

According to our database, Richard Puckett LPMED NPI is 1639275761, taxonomy code is 103TC1900X and license number is 1835, license state is located at Minnesota. Richard Puckett LPMED physically located at 2618 Emerald Dr, Grand Rapids MN, 55744-5060. NPI Number Richard Puckett LPMED has the Individual type.

Sponsored links

1639275761 NPI number is provided on an as is basis without warranty of any kind. 1639275761 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Puckett LPMED are for informational purposes only.