Provider Demographics
NPI:1154433241
Name:HESS, RICHARD ALFRED (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALFRED
Last Name:HESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2255 N TUWEAP DR UNIT 51
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5344
Mailing Address - Country:US
Mailing Address - Phone:602-295-3946
Mailing Address - Fax:435-674-7031
Practice Address - Street 1:2255 N TUWEAP DR UNIT 51
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5344
Practice Address - Country:US
Practice Address - Phone:602-295-3946
Practice Address - Fax:435-674-7031
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6815207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ64086Medicare ID - Type Unspecified
AZE39797Medicare UPIN