Individual provider · NPI-1

Richard Augustine Cardone, M.D.

Surgery · Bullhead City, AZ

NPI number1932106853

StatusActive

Last updated in NPPESOct 18, 2007

Details

NPI: 1932106853
Entity type: Individual (NPI-1)
Name: Richard Augustine Cardone
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 7, 2005
Last updated: Oct 18, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	26223	AZ	Yes
208C00000X	Colon & Rectal Surgery	G84346	CA
208C00000X	Colon & Rectal Surgery	MD050553L	PA

Practice location

5300 Hwy 95
Ste. C
Bullhead City, AZ 86426-9251

Phone 928-768-4100 · Fax 928-768-6522

Mailing address

Po Box 9687
Bullhead City, AZ 86427-9687

Phone 928-768-4100 · Fax 928-768-6522

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