Individual
RICHARD DOUGLAS DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006
(504) 545-5683
(504) 456-8195
Mailing address
4200 HOUMA BLVD, METAIRIE, LA 70006
(504) 545-5683
(504) 456-8195
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
026255
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052469
—
LA
Enumeration date
08/31/2006
Last updated
07/08/2007
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