THOMAS RICHARD BARDOLPH — OIG Excluded Provider (RANCHO PALOS VERDES, CA, 1128b4)
THOMAS RICHARD BARDOLPH — OIG Excluded Provider (RANCHO PALOS VERDES, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: THOMAS RICHARD BARDOLPH; Type: Individual; Provider category: MEDICAL PRACTICE, MD.
| Name | THOMAS RICHARD BARDOLPH |
|---|---|
| Type | Individual |
| Provider category | MEDICAL PRACTICE, MD |
| Specialty | ANESTHESIOLOGY |
| City | RANCHO PALOS VERDES |
| State | CA |
| ZIP | 90275 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2003-06-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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