RICHARD E. FAUSEL, D.O, A PROFESSIONAL CORPORATION
Osteopathic Medicine at Bob Hope Dr, Rancho Mirage, CA

License number
California 20A5111
Category
Osteopathic Medicine
Type
Adult Medicine
Owner
Name: DR. RICHARD E FAUSEL DO
Title: PRESIDENT
Phone: (760) 779-9353
Address
Address
39700 Bob Hope Dr SUITE 216, Rancho Mirage, CA 92270
National Provider ID: 1336170091
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICHARD E. FAUSEL D.O., A PROFESSIONAL CORPORATION

PO Box 2579, Banning, CA 92220

Status:
Inactive
Registration:
Feb 14, 2006
State ID:
C2854707
Business type:
Articles of Incorporation
President:
Richard E. Fausel (President)
Agent:
Richard E Fausel,Indio, CA 92203 (Physical)

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