Individual
DR. DONALD E. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 PINNACLE PKWY STE 7, COVINGTON, LA 70433
(985) 643-4144
(985) 643-3603
Mailing address
1200 PINNACLE PKWY, SUITE 7, COVINGTON, LA 70433
(985) 643-4144
(985) 643-3603
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
008094
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
008094
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058840
—
LA
01
—
P00674774
RAILRAOD MEDICARE
LA
Enumeration date
05/16/2006
Last updated
05/31/2018
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