Individual
DR. RICHARD K MAUTNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2820 CANAL ST, FL 1, NEW ORLEANS, LA 70119-6302
(504) 821-8158
(504) 827-7416
Mailing address
2820 CANAL ST, FL 1, NEW ORLEANS, LA 70119-6302
(504) 821-8158
(504) 827-7416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03880R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184675
—
LA
Enumeration date
07/08/2005
Last updated
07/08/2007
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