Individual
DR. RICHARD E HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1449 E BERT KOUNS INDUSTRIAL LOOP, SUITE 100, SHREVEPORT, LA 71105-5634
(318) 629-0220
(318) 629-0230
Mailing address
1449 E BERT KOUNS INDUSTRIAL LOOP, SUITE 100, SHREVEPORT, LA 71105-5634
(318) 629-0220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018481
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1380881
—
LA
Enumeration date
04/08/2006
Last updated
12/20/2011
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