Provider Demographics
NPI:1427074392
Name:RIPLEY, RICHARD (MBBS, DIPRANZCR)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:RIPLEY
Suffix:
Gender:M
Credentials:MBBS, DIPRANZCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:PAGO PAGO
Mailing Address - State:AS
Mailing Address - Zip Code:96799-0777
Mailing Address - Country:US
Mailing Address - Phone:684-633-1222
Mailing Address - Fax:
Practice Address - Street 1:TURNER DR.
Practice Address - Street 2:
Practice Address - City:FAGAALU
Practice Address - State:AS
Practice Address - Zip Code:96799
Practice Address - Country:US
Practice Address - Phone:684-633-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AS2042-A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology