Individual
DR. RICHARD D SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3510 MAGNOLIA COVE, STE 120, MONROE, LA 71203
(318) 966-8700
(318) 329-2950
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-8700
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05728R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05728R
LICENSE
LA
05
—
1340910
—
LA
Enumeration date
06/05/2006
Last updated
08/08/2022
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