Organization
RICHARD C ROBERTSON JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD COVEY ROBERTSON JR. MD.207479 (MEMBER)
(601) 212-8719
Entity
Organization
Contact information
Practice address
7039 HIGHWAY 190 EAST SERVICE RD STE C, COVINGTON, LA 70433-4961
(985) 869-8582
(985) 888-1838
Mailing address
14 DOGWOOD DR, COVINGTON, LA 70433-4433
(601) 212-8719
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053756965
NPI
LA
Enumeration date
11/25/2019
Last updated
11/25/2019
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