Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD IAN GRACER, MD
Active Sole ProprietorRICHARD IAN GRACER, MD is a Interventional Vascular Surgery healthcare provider located in SAN RAMON, California. NPI 1972676930 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SAN RAMON, CA
Registration Details
- NPI Number
- 1972676930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.768621570549 yrs)
- Last Updated
- Sep 26, 2011
- Licenses
-
G35367 (CA)G35367 (CA)G35367 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5401 NORRIS CANYON RDSUITE 102SAN RAMON, CA, 945835406Browse CA providers · Browse ZIP 94583
- Phone
- 9252771100
- Fax
- 9252771263
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Adolescent Medicine
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.